000			03142cam a2200337 a 4500
003			EG-GiCUC
005			20250223032702.0
008			210202s2020 ua dh f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.25.M.Sc.2020.Ra.D
100	0		_aRaafat Elsayed Farag Abdesalam
245	1	0	_aDisplaced midshaft fractures of the clavicle : _bA comparative study between non-operative treatment versus operative plate fixation / _cRaafat Elsayed Farag Abdesalam ; Supervised Ibrahim Taha Elgeady , Sherif Hamdy Mohamed Zawam
246	1	5	_aدراسة مقارنة فى كسور منتصف عظمة الترقوة النازحة بين العلاج التحفظى والتثبيت بشريحة
260			_aCairo : _bRaafat Elsayed Farag Abdesalam , _c2020
300			_a108 P . : _bcharts , facsmilies ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Orthopaedic surgery
520			_aBackground: Recent studies have shown a high prevalence of symptomatic malunion and nonunion after nonoperative treatment of displaced midshaft clavicular fractures. We sought to compare patient-oriented outcome and complication rates following nonoperative treatment and those after plate fixation of displaced midshaft clavicular fractures. Materials and methods: From February 2020 to November 2020, a prospective clinical trial study involving 30 patients with displaced mid shaft clavicle fractures. patients were randomized to operative treatment with plate fixation (15 patients) or nonoperative treatment with a sling (15 patients), Outcome analysis included standard clinical follow-up, Quick (DASH) score and plain radiographs. There were no differences between the two groups with respect to patient demographics, mechanism of injury or fracture pattern. Results: The mean time to radiographic union was 20 weeks in the nonoperative group compared with 12.7 weeks in the operative group (p = 0.001). There were three non-unions in the conservative group compared with no one in the nonoperative group (p = 0.005). Symptomatic malunion developed in five patients in the nonoperative group and no one in the operative group (p = 0.005). Most common complications in the operative group were hardware-related problem, Quick DASH scores were improved in the operative fixation group at all time-points. Conclusion: Operative fixation of a displaced fracture of the clavicular shaft results in improved functional outcome and a lower rate of malunion and nonunion compared with nonoperative treatment at six months of follow-up. Hardware removal remains the most common reason for repeat intervention in the operative group Level of evidence: Therapeutic level I
530			_aIssued also as CD
653		4	_aClavicle
653		4	_aFractures
653		4	_aMidshaft
700	0		_aIbrahim Taha Elgeady , _eSupervisor
700	0		_aSherif Hamdy Mohamed Zawam , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aAmira _eCataloger
905			_aNazla _eRevisor
942			_2ddc _cTH
999			_c79795 _d79795