多發創傷患者鎖骨幹體中間骨折手術固定後即時可容忍負重相比非負重有改善的結果

Translated title of the contribution: Immediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients

Brian Cunningham, Jennifer Tangtiphaiboontana, Hrayr Basmajian, Ryan Mclemore, Brian Miller, Anthony Rhorer, Gilbert Ortega

Research output: Contribution to journalArticle

Abstract

Background: Clavicle fractures are common injuries in the polytrauma population and frequently limit early mobilisation. This study evaluates the effect of immediate crutch weight-bearing (WB) in polytrauma patients after surgical stabilisation of a displaced midshaft clavicle fracture. Methods: A retrospective review identified 26 polytrauma patients with operatively managed displaced midshaft clavicle fractures and a non–weight-bearing (NWB) lower extremity injury. Patients were allowed immediate WB after surgery or NWB. The primary outcome was total hospital length of stay. Statistical analysis was done using Mann–Whitney U test. Results: The WB group had decreased total hospital length of stay (10.4 vs. 17.0 days, p = 0.012) and improved physical therapy score (3.9 vs. 2.9, p = 0.054) and postoperative length of stay (6.8 vs. 12.7 days, p = 0.006) compared with the NWB group. Conclusions: Our data suggest that an immediate WB as tolerated protocol for polytrauma patients after surgical fixation of displaced clavicle fractures may decrease the overall length of stay.

Translated title of the contributionImmediate weight-bearing as tolerated has improved outcomes compared to non–weight-bearing after surgical stabilisation of midshaft clavicle fractures in polytrauma patients
Original languageChinese
Pages (from-to)16-20
Number of pages5
JournalJournal of Orthopaedics, Trauma and Rehabilitation
Volume25
DOIs
StatePublished - Dec 2018

Keywords

  • clavicle fracture
  • early WB
  • length of stay
  • polytrauma

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