Quand faut-il opérer une fracture isolée du tiers moyen de la clavicule [When to operate an isolated midshaft clavicle fracture?]

Détails

ID Serval
serval:BIB_5C9AF9FA6A24
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Quand faut-il opérer une fracture isolée du tiers moyen de la clavicule [When to operate an isolated midshaft clavicle fracture?]
Périodique
Revue Médicale Suisse
Auteur(s)
Djahangiri A., Farron A.
ISSN
1660-9379[print], 1660-9379[linking]
Statut éditorial
Publié
Date de publication
2009
Volume
5
Numéro
212
Pages
1542-1545
Langue
français
Résumé
Slightly displaced clavicular midshaft fracture is currently treated nonoperatively. There is considerable debate about whether acute displaced fractures should be treated operatively. Nonunion rate after displaced fracture has been underestimated for a long time, and malunion clinical impact often minimized. It is known that operative treatment decreases these rates. However, operating all displaced fractures may lead to overtreatment. Acute operative treatment of midshaft fractures with delayed treatment of established nonunion showed no significant difference in the outcome, but malunion surgical management is technically demanding. Consequently these fractures could be treated surgically, but operative indication should be adapted to patient expectations.
Mots-clé
Casts, Surgical, Clavicle/injuries, Clavicle/surgery, Fracture Fixation, Internal/methods, Fractures, Bone/surgery, Fractures, Bone/therapy, Humans, Immobilization/methods, Internal Fixators, Patient Satisfaction, Prognosis, Range of Motion, Articular, Recovery of Function, Splints, Treatment Outcome
Pubmed
Création de la notice
10/12/2009 13:06
Dernière modification de la notice
20/08/2019 15:15
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