Evaluation of neurophysiological and dynamometrical parameters in treatment of closed clavicular fractures using transosseous osteosynthesis technique

Purpose. To evaluate the effectiveness of clavicular fracture treatment by transosseous osteosynthesis at the stages of treatment and in the postoperative period neurophysiologically and dynamometrically. Materials and Methods. 58 patients with closed clavicular fractures treated by the Ilizarov method examined in different periods after surgery. Neurophysiological and dynamometrical parameters evaluated. Results. The greatest changes revealed to develop in m. biceps brachii. The recovery of the hand grasp strength occurred by the moment of the fixator removal, and the recovery of the shoulder girdle muscle function – within a year after treatment. Conclusion. The neurophysiological and dynamometrical studies objectively confirm the high effectiveness of rehabilitation of patients with clavicular fractures by transosseous osteosynthesis technique thereby allowing to recommend it for wider use in clinical practice.