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Online ISSN 1827-1707
Caira S. F., Zanetti G.
Background. Fractures of the clavicle constituting nearly 44% of shoulder girdle fractures. The fractures of the middle third make up approximately 80%.
Methods. Between January 1988 to August 1998 785 fractures of the clavicle were observed and treated in Our Department. 639 (81,2%) were fractures of the middle third. 128 ( 16,2%) fractures of the distal third and 12 (2,6%) fractures of the proximal third. There were 620 (78,9%) males and 165 (21,1%) females. The average age was 25,8 years (range 5 - 81 years). 538 Patients were controlled. 475 Patients (88,5%) were treated medically with BSO in 425 cases. Desault bandage in 42 and with thoraco-brachial gypso in 8. Seventy three patients (11,5%) were operated with endomidollar wires o plats.
Results. The results were evaluated with the Costant's score and the subiective evaluation of the patient. The average follow-up was 4.8 years (range six months - ten years and seven months). In Patients treated medically excellent results were obtained in 87.4%, good and fairly good in 12.6%. In the patients operated, excellent results were obtained in 91.8%, good and fairly good in 8.2%. There results indicate that fractures of the middle third of the clavicle have a favourable prognosis.
Conclusions. In our opinion significant differences in the results according to treatment do not exist.