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. 2021 Dec 1;11(1):23263.
doi: 10.1038/s41598-021-02771-5.

Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma

Helge Eberbach  1 , Rolf Lefering  2 , Sven Hager  3 , Klaus Schumm  4 , Lisa Bode  4 , Martin Jaeger  4 , Dirk Maier  4 , Johannes Kalbhenn  5 , Thorsten Hammer  4 , Hagen Schmal  4   6 , Jörg Bayer  4
Affiliations

Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma

Helge Eberbach et al. Sci Rep. .

Abstract

Thoracic trauma has decisive influence on the outcome of multiply-injured patients and is often associated with clavicle fractures. The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1 ± 5.3 days. Surgically treated patients had a significant reduction in lung failure (p = 0.013, OR = 0.74), multiple organ failure (p = 0.001, OR = 0.64), intubation time (p = 0.004; -1.81 days) and length of hospital stay (p = 0.014; -1.51 days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p = 0.01, OR = 0.62), multiple organ failure (p = 0.01, OR = 0.59) and length of hospital stay (p = 0.01; -2.1 days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Flowchart showing inclusion and exclusion of patients for this study.
Figure 2
Figure 2
Trauma mechanism.
Figure 3
Figure 3
Treatment modality according to level of trauma center.
Figure 4
Figure 4
Treatment modality according to patient age.
See this image and copyright information in PMC

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