European Journal of Molecular & Clinical Medicine

Background: A Clavicle fracture is a common traumatic injury as it positions
directly under the skin. Both conservative and operative methods are used for the
treatment of this fracture. But there is no uniform agreement on the best choice of
treatment. So, this study aims to assess the outcome of the conservative treatment
and operative treatment by using plate and screw of midshaft fracture of clavicle
and comparing the two treatment methods. Patients and methods: This study was
done at the Department of Orthopedic Surgery of Zagazig University Hospital from
April 2020 to December 2020 on 18 patients are involved then these patients were
subdivided into two groups, Group A (9 patients) for conservative treatment and
Group B (9 patients) for operative treatment by using a plate and screw fixation.
Assessment of the outcome using the constant shoulder score. Results: The time of
union was 5.33±0.70 months in the conservative group and 4.66±0.86 months in the
operative group. Constant shoulder score was in Conservative group 4 patients had
excellent score (44.4%), 2 patients had good score (22.2%), 3 patients had poor
score (33.3%) While in Operative group 6 patients had excellent score (66.6%), 1
patient had good score (11.1%), 2 patients had poor score (22.2%). Conclusion: The
non-surgical methods still the best treatment of simple nondisplaced mid-shaft
clavicular fractures. The operative methods donate a good result in active athlete's
patient with displaced or comminuted fracture.

Summary. In the department of pediatric orthopedics of the RSSPMCTO over the past 15 years 82 children with a congenital high scapula at the age from 3 to 14 years have been treated. The osteoarticular and neuromuscular systems, X-ray, MSCT and electroneuromyographic studies were performed to assess the general condition of the patient. Surgical treatment was carried out in 34 children without reconstruction and in 40 with reconstruction of the shape of the scapula. Of all 74 patients examined in the long-term period after treatment, we obtained good results in 75.7% of cases, satisfactory in 21.6%, and unsatisfactory anatomical and cosmetic treatment results in 2.7%.