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Comparison of the effectiveness of oblique and transverse incisions in the treatment of fractures of the middle and outer third of the clavicle

Journal of Shoulder and Elbow Surgery Jun 28, 2019

Li R, et al. - Through a prospective observational study that included patients with fractures of the mid-to-outer third of the clavicle (accounts for 2.6% to 5.0% of all human fractures) between August 2011 and August 2016, the experts compared the clinical effectiveness of oblique and transverse incisions in the treatment of fractures of the clavicle. Patients were randomized into 2 groups, the oblique incision (n = 62) and transverse incision (n = 64) on the basis of the treatment of choice. No significant difference in operative time, postoperative fracture healing time, postoperative shoulder function, and clinical complications among the two groups could be recognized. Less intraoperative blood loss, smaller surgical incisions, more favorable outcomes for postoperative satisfaction, absence of shoulder numbness at the last follow-up, and satisfaction with the scar were observed in the oblique incision group. Hence, lesser bleeding, smaller incisions, less iatrogenic injury to supraclavicular nerves, and greater patient satisfaction were observed in patients that underwent oblique incisions. However, on the recovery of shoulder joint function, both approaches had equivalent effects.
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