Evaluating the impact of plate treatment and cortical bone grafting of clavicular midshaft and lateral non- unions on restoration of clavicular length and bony healing and its association with functional outcome.
Study Type
OBSERVATIONAL
Enrollment
46
Follow- up (FU) assessment (clinical examination and patient questionnaires) at least 24 months after surgery (clavicular midshaft and lateral non- union treated by plate and iliac crest bone grafting)
Department of Orthopaedics
Basel, Switzerland
Schulthess Klinik Zürich
Zurich, Switzerland
Clavicula shortening (cm)
Clavicula shortening (cm) based on Imaging assessment (x-ray, ultrasound), dichotomous outcome with shortening less or equal 2 cm (yes/no).
Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting
Constant Murley score (CS)
tool for assessment of shoulder function: Range of Motion (ROM) of shoulder (degree), abduction strength (kg), Quality of Life (QoL) questionnaire. The different scales are summed and normalized to 0=worst to 100=best.
Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting
Subjective shoulder pain (NRS)
Patient rates pain at rest and at motion of the treated shoulder on numeric scale ranging from 0 (no pain) to 10 (maximum possible pain)
Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting
Subjective shoulder value (SSV)
based on a single question answered subjectively by Patient: "What is the overall percent value of your shoulder if a completely normal shoulder represents 100%?"
Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting
Simple shoulder test (SST)
12 items questionnaire to assess restrictions in activities of daily living (ADL) related to impaired shoulder function; response in dichotomous manner (yes/no)
Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting
Quality of Life (QoL)
assessed by Quality of Life EuroQoL 5D-5L Instrument (EQ-5D-5L); the descriptive system comprises five dimensions: mobility, self-care, usual activities, pain/discomfort and anxiety/depression. Each dimension has 5 levels: no problems, slight problems, moderate problems, severe problems and extreme problems. The patient is asked to indicate his/her health state by ticking the box next to the most appropriate statement in each of the five dimensions. This decision results in a 1-digit number that expresses the level selected for that dimension. The digits for the five dimensions can be combined into a 5-digit number that describes the patient's health state.
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Time frame: one assessment at least 24 months after clavicular surgery by plate and iliac crest bone grafting