The effectiveness of various surgical methods for the treatment of fractures of the clavicle on the example of the GH named after Professor Kh.Zh. Makazhanova

Berik Tuleubayev, Azim Saginov, Аmina Koshanova, Ivan Avromidi

2024

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DOI 10.52889/1684-9280-2024-2-72-56-60
Data confidence 70 medium
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Abstract

Fractures of the clavicle in frequency occupy one of the first places in case of damage to the musculoskeletal system. In this connection, many methods have been developed for the treatment of clavicle fractures; however, an effective method of fixation, devoid of shortcomings, remains the subject of research. The aim: to evaluate the effectiveness of various surgical methods for the treatment of clavicle fractures on the example of the Multidisciplinary clinic named after Professor Kh.Zh. Makazhan (Karaganda, Kazakhstan). Methods. A retrospective study was conducted in 276 patients with clavicle fractures older than 10 years. Of the total number of patients, the largest number are men - 221 patients (80.07%), women - 55 patients (19.92%). The use of intramedullary osteosynthesis (using pins, rods) was about 9% or 25 of all operated patients. With the help of an overlay plate, fixation was performed in 86% of patients (238 people), while out of 238 patients operated on with an overlay plate, 152 patients were operated on due to repeated referral from other clinics, and the remaining 86 were operated on urgently. Treatment with the rod apparatus was carried out in 1 patient. Results. As a result of treatment, the majority of patients achieved satisfactory results. However, when using intramedullary osteosynthesis (with the help of a pin, a rod), in 6 patients out of 25 operated by this method, the fixator migrated, and therefore bone osteosynthesis was performed. In patients treated with overlay plates, migration of the structure or the development of diastasis was not observed. As a result of the treatment with the rod apparatus, no complications were observed either. Conclusion. Based on the obtained statistical data, we see that plate osteosynthesis provides more rigid fixation, and additional fastening of autografts is performed in the treatment of false joints, which is effective for further fusion of fragments. However, despite the effectiveness of plate osteosynthesis, its disadvantages require the development of a new fixator for intramedullary osteosynthesis.