27. SOME CLINICAL CHARACTERISTICS OF PATIENTS WHO TREATED CLOSED DISTAL CLAVICLE FRACTURE BY PRECONTOURED LOCKING PLATE AT MILITARY HOSPITAL 175

Tran Quoc Doanh1, Bui Van Phuc1, Nguyen Anh Sang1,2
1 175 Military Hospital
2 Vietnam Military Medical Academy

Main Article Content

Abstract

Objective: Survey of some clinical characteristics of patients with closed distal clavicle fracture, treated by precontoured lateral clavicle locking plate.


Subject and method: A descriptive research at Military Hospital 175 from January 2022 to May 2024 on 35 adult patients with closed distal clavicle fracture, treated by osteosynthesis with precontoured lateral clavicle locking plate method.


Results: The average age of the study group was 41.66 ± 15.21 years old (ranged from 17 to 68 years old). The male/female ratio is 1.69/1. The cause of distal clavicle fracture due to traffic accidents accounts for the highest rate with 94.28%, daily life accidents and work accidents account for 2.86%. There were 14/35 cases of trauma that involved both distal clavicle fracture and damage to other positions.


Conclusion: This shows that fractures of distal clavicle are often accompanied by injuries to other organs with varying degrees of severity depending on the impact force caused by the injury. Therefore, when examining, it is necessary to be very careful in taking medical history to avoid missing injuries.

Article Details

References

[1] Tsuei YC. Comparison of clinical results of surgical treatment for unstable distal clavicle fractures by transacromial pins with and without tension band wire. J Chin Med Assoc, 2010, 73(12): 638-643.
[2] Trần Văn Bảy. Gãy xương đòn và vùng vai. Bài giảng bệnh học Chấn thương chỉnh hình và phục hồi chức năng, 1997, 66-68.
[3] McKee MD. Clavicle Fracture. Rockwood and Green’s Fractures in Adults, 2014, 1(38): 1427-1474
[4] Vaishya R. Outcome of distal end clavicle fractures treated with locking plates. Chin J Traumatol, 2017, 20(1): 45-48.
[5] Nguyễn Hữu Long. Đánh giá kết quả điều trị phẫu thuật gãy đầu ngoài xương đòn bằng xuyên đinh Kirschner và chỉ thép. Trường Đại học Y khoa Pham Ngọc Thạch. 2015.
[6] Mỵ Duy Tiến. Đánh giá kết quả điều trị phẫu thuật gãy kín đầu ngoài xương đòn bằng nẹp móc. Đại học Y dược Thành phố Hồ Chí Minh. 2016.
[7] Quách Trung Hào. Đánh giá kết quả điều trị phẫu thuật gãy đầu ngoài xương đòn loại IIB (Neer) bằng nẹp móc tại bệnh viện Sài Gòn ITO. Trường Đại học Y khoa Pham Ngọc Thạch. 2016.
[8] Abdeldayem A. Treatment of unstable distal third clavicular fracture with locked distal radius plate. J Orthop, 2013, 10(4): 168-171.
[9] Kapil-Mani KC. Precontoured Clavicular Locking Plate with Broad Lateral End: A Newly Designed Plate for Lateral Third Clavicle Fractures. Malays Orthop J,. 2018, 12(1): 15-20.
[10] Flinkkilä T. Hook-plate fixation of unstable lateral clavicle fractures: a report on 63 patients. Acta Orthop, 2006, 77(4): 644-649.