Predictors of clavicle fixation in multiply injured patients.

Authors :: Tinney A
Moaveni AK
Kimmel LA
Gabbe BJ
Source :: Journal of orthopaedics [J Orthop] 2020 Feb 04; Vol. 21, pp. 35-39. Date of Electronic Publication: 2020 Feb 04 (Print Publication: 2020).
Publication Year :: 2020
Abstract: Introduction: Clavicle fractures account for approximately 10% of all fractures in multiply injured patients. Our study aims to determine factors associated with surgical fixation of the clavicle fracture in multiply injured patients.<br />Methods: Major adult trauma patients from 2005 to 2014 with a clavicle fracture were included. Multivariate analysis was undertaken to determine the variables associated with fixation.<br />Results: 1779 patients (median age of 47 and a median Injury Severity Score of 17) were included. 273 (15%) patients underwent clavicle fixation. Factors associated with surgical fixation of the clavicle included: year, younger age, ICU admission, or an associated humerus or scapula fracture.<br />Competing Interests: None of the authors have any conflict of interest to declare.<br /> (© 2020 Professor P K Surendran Memorial Education Foundation. Published by Elsevier B.V. All rights reserved.)