Treatment of clavicle fracture using wise lock clavicle hook plate and wise lock superior anterior clavicle plate
Abstract
Background: Clavicle fracture is common in adults associated with high non-union rate and post-operative complications. The aim of this prospective study was to reduce the postoperative complications in clavicle fracture (Type 15-A2 and 15-B1) by using wise lock plates (manufactured by Auxein Medical Private Limited).
Methods: In this prospective study of 25 patients (11 patients had 15-A2 fracture, 14 patients had 15-B1 fracture) recruited with one year follows up period followed by physical exercises after one month of the surgery. The fractures were treated with two different plates: 3.5 mm wise lock clavicle hook plate and 3.5 mm wise lock superior anterior clavicle plate. X-ray was used to check the union, non-union. Functional outcome of the patients were assessed by the visual analogue scale (VAS) score at post-operative follow up at 4 weeks, 12 weeks, 6 months and 1 year.
Results: Postoperative outcome was good with none of the patients showing non-union or delay in the union of fracture site. The encountered complication registered were residual pain which was mild (4 cases), and hypoesthesia (2 cases).
Conclusions: Osteosynthesis of clavicle fracture with 3.5 mm diameter locking plates attributed as superior, anterior and hook plating system showed excellent results with low rate of complications.
Keywords
Full Text:
PDFReferences
McKerrow M, North J. Clavicle fracture management: A comparison of a tertiary hospital and rural telehealth sites. J Telemed Telecare. 2017: 1–5.
Xie WP, Zhang YK, Chen YH, Wang SL, Xu HH, Bi RX. A novel surgical method for treating medial end clavicle fractures. Exp Ther Med. 2018;16:5390-3.
Bourghli A, Fabre A. Proximal end clavicle fracture from a parachute jumping injury. Orthop Traumatol Surg Res. 2012;98(2):238–41.
Meinberg EG, Agel J, Roberts CS, Karam MD, Kellam JF. Fracture and Dislocation Classification Compendium—2018. J Orthop Trauma. 2018;32:1-10.
Burnham J, Kim D, Kamineni S. Midshaft clavicle fractures: A critical review. Orthopedics. 2016;39:814–21.
Sarah BR, Gretchen DO. Clavicular Fracture in a Collegiate Football Player:A Case Report of Rapid Return to Play. J Athl Train. 2011;46(1):107–11.
Altamimi SA, McKee MD. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. Surgical technique. J Bone Joint Surg Am. 2008;90(2):1-8.
Martetschläger F, Gaskill TR, Millett PJ. Management of clavicle nonunion and malunion. J Shoulder Elbow Surg. 2013;22(6):862-8.
Robinson CM. Fractures of the clavicle in the adult. Epidemiologyand classification. J Bone Joint Surg Br. 1998;80:476–84.
Hill JM, McGuire MH, Crosby LA. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. J Bone Joint Surg Br. 1997;79:537–9.
Lazarides S, Zafiropoulos G. Conservative treatment of fractures at the middle third of the clavicle:the relevance of shortening and clinical outcome. J Shoulder Elbow Surg. 2006;15:191–4.
Vander Have KL, Aaron MP, Michelle SC, Frances A. Operative versus nonoperative treatment of midshaft clavicle fractures in adolescents. J Pediatr Orthoped 2010;30(4):307-12.
Zhang Y, Xu J, Zhang C, Sun Y. Minimally invasive plate osteosynthesis for midshaft clavicular fractures using superior anatomic plating. J Shoulder Elbow Surg. 2016;25(1):7-12.
Ranalletta M, Rossi LA, Bongiovanni SL, Tanoira I, Piuzzi NS, Maignon G. Surgical treatment of displaced midshaft clavicular fractures with precontoured plates. J Shoulder Elb Surg. 2015;24(7):1036-40.
Sohn HS, Kim WJ, Shon MS. Comparison between open plating versus minimally invasive plate osteosynthesis for acute displaced clavicular shaft fractures. Injury. 2015;46(8):1577-84.
