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Fracturas de Clavícula

Tratamiento de Fracturas de Clavícula: Revisión de Conceptos Corrientes

Clavicle fractures are common in adults and children. Most commonly, these fractures occur within the middle third of the clavicle and exhibit some degree of displacement. Whereas many midshaft clavicle fractures can be treated nonsurgically, recent evidence suggests that more severe fracture types exhibit higher rates of symptomatic nonunion or malunion. Although the indications for surgical fixation of midshaft clavicle fractures remain controversial, they appear to be broadening. Most fractures of the medial or lateral end of the clavicle can be treated nonsurgically if fracture fragments remain stable. Surgical intervention may be required in cases of neurovascular compromise or significant fracture displacement. In children and adolescents, these injuries mostly consist of physeal separations, which have a large healing potential and can therefore be managed conservatively. In this study, “Treatment of Clavicle Fractures: Current Concepts and Review”, procedures and concepts of clavicle fracture management
are discussed including surgical indications, techniques, and results.

Las Complicaciones de las Fracturas de Clavícula Tratados con Fijación Intramedular

This study: “Complications of Clavicle Fractures Treated with Intramedullary Fixation” discusses operative technique for clavicle fractures using intramedullary fixation. Recent studies have demonstrated better outcomes with operative fixation of displaced mid-shaft clavicle fractures. We hypothesize that the risk of major complication with intramedullary fixation for clavicle fractures will be low. The study featured in this report analyzed 58 patients with clavicle fractures. All 58 were treated with intramedullary fixation.  The article discusses specific methods used during the study, patient data, and full results. It was concluded that patients with intramedullary fixation can expect smaller scars, no long-term hardware complications, and small potential for refracture or further hardware-related complications after hardware removal.Download a copy of “Complications of Clavicle Fractures Treated with Intramedullary Fixation” below.