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Outcomes of different Surgical Methods in Fixation of Mid-Shaft Clavicle Fractures
Faculty
Medicine
Year:
2022
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Hatem Farhan Imam
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian orthopaedic Journal: Egyptian orthopaedic Journal:
Volume:
Keywords :
Outcomes , different Surgical Methods , Fixation , Mid-Shaft Clavicle
Abstract:
ABSTRACT Objectives: This prospective cohort study was done to evaluate the outcomes of two surgical techniques (intramedullary fixation versus plating) in the treatment of midshaft clavicle fractures. Patients and Methods: Twenty-four patients between 18 and 60 years of age were included in this study. They were divided into two groups to be treated with intramedullary nailing or plating. Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of both groups were compared. Results: The union time was significantly less for the nail group. However, there was no significant difference found between the two groups regarding the functional outcome, which was based on the Quick DASH Score. Infection and nonunion were higher in the plate group, but with no significant difference between the two groups. Skin irritation (hardware prominence) was significantly higher in the nail group. On the other hand, the plate group had significantly higher rates of patient dissatisfaction due to scar formation. Conclusion: Intramedullary fixation is a safe, minimally invasive surgical technique with a lower complication rate, faster union time, excellent cosmetic, comparable functional results and can be used as an equally effective alternative to plate fixation in the treatment of the mid-shaft clavicle fractures. Keywords: Mid-shaft clavicle fracture, Intra-medullary nailing, plating.
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Department Related Publications
Ahmed Hatem Farhan Imam, "Management of Osteochondral Defects in the Knee via Osteochondral Autograft Plug Transfer: An Assessment of the Short-term Results", Egyptian orthopaedic Journa, 2021
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Ahmed Hatem Farhan Imam, "Assessment of Shoulder Function after Internal Fixation of Humeral Diaphyseal Fractures in Young Adults: A Prospective Comparative Study", Advances in Orthopedics, 2021
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Ahmed Hatem Farhan Imam, "Global posterior elbow approach versus dual lateral and medial elbow approaches in the management of terrible triad injury of the elbow", Egyptian orthopaedic Journa, 2022
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Ahmed Hatem Farhan Imam, "Satisfactory Functional Results and Complication Rates After Anterior Glenoid Bone Block Reconstruction in Recurrent Shoulder Dislocation: A Mean 4-Year Follow-up Comparative Study", Egyptian orthopaedic Journal, 2022
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Adel Abdelaziem Ahmed Sallim, "The Outcome of Modified Dunn's Procedure for Moderate and Severe Slipped Capital Femoral Epiphysis", www.ghrnet.org/index.php/ijo, 2018
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