AYRIŞMIŞ, ORTA HAT KLAVİKULA KIRIKLARINDA CERRAHİ TEDAVİNİN FONKSİYONEL SONUÇLARININ DEGERLENDİRİLMESİ: GERİYE DÖNÜK, ORTA DÖNEM TAKİP SONUÇLARIMIZ Evaluation of Functional Outcomes in the Surgical Treatment of Displaced Middle-Third Clavicular Fracture:

Amac: Bu calismanin amaci ayrismis orta hat klavikula kiriklarinin cerrahi tedavisinde acik reduksiyon ve inter- nal kilitli plak ile tespitin orta donem sonuclarini degerlendirmek. Gerec ve Yontem: Agustos 2011 ve Temmuz 2013 arasinda acik reduksiyon ve internal kilitli plak ile tespit yapilan 23 hasta (9 [39,1%] erkek, 14 [60,9%]; ortalama yas 6,8±12,4 yil) calismaya dahil edildi. Tum hastalar son kontrollerinde Disabilities of the Arm, Shoulder and hand (DASH) ve Constant Shoulder (CS) skorlari ile degerlendirildi. Bulgular: Ortalama takip suresi 28,6 ay (12-44 ay) ve ortalama kaynama suresi 14.1 ±2,6 hafta (aralik: 10-20 hafta ) idi. Hicbir hastada kaynamama ya da implant yetmezligi gelismedi. Son kontrollerinde ortalama CS ve DASH skoru 86,3±3,5 (80-93) ve 14,0±4,2 (6,8-25) idi. Sonuc: Ayrismis orta hat klavikula kiriklarinin cerrahi tedavisinde acik reduksiyon ve internal kilitli plak ile tespit iyi fonksiyonel sonuc saglamaktadir. Anahtar kelimeler: Klavikula; Ayrismis; Kirik; Acik reduksiyon; Plak ile tespit ABSTRACT Background: The aim of this study was to evaluate the mid-term functional outcomes of open reduction and internal locked-plate fixation in the surgical treatment of displaced middle-third clavicular fractures. Method: We performed a retrospective review of 23 consecutive patients (9 [39.1%] male, 14 [60.9%] female; mean age, 46.8 ± 12.4 years) who underwent open reduction and internal locked-plate fixation between August 2011 and July 2013. All patients were clinically rated at the final follow-up visit using the Disabilities of the Arm, Shoulder and Hand (DASH) and the Constant Shoulder (CS) scores. Results: The average follow-up duration was 28.6 months (range: 12-44 months) and the mean union time was 14.1 ± 2.6 weeks (range: 10-20 weeks). None of the patients experienced nonunion or implant failure. At the final follow-up, the mean CS and DASH scores were 86.3 ± 3.5 (range: 80-93) and 14.0 ± 4.2 (range: 6.8-25), respectively. Conclusion: Surgical treatment using open reduction and internal fixation of displaced middle-third clavicular fractures results in good functional results, has a high rate of union, and provides good functional outcomes with locked-plate fixation. Key words: Clavicle; Displaced; Fracture; Open reduction; Plate fixation