Functional outcome of displaced middle third clavicular fractures treated by plate osteosynthesis


  • A. Palanivel Chief Civil Surgeon, Government District Head Quarters Hospital Nagapatinnam, Tamil Nadu



Clavicular fracture, Locking compression plate, Plate osteosynthesis


Background: Clavicle fracture is a common traumatic injury around the shoulder girdle due to its subcutaneous position. Recent studies have shown a higher rate of nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures. The purpose of the study was to prospectively analyse the functional outcome of mid-third displaced clavicular fractures treated by open reduction and internal fixation with plate osteosynthesis. To study the outcome of displaced middle-third clavicular fracture streated by plate osteosynthesis.

Methods: This was a prospective comparative on-randomized study was conducted in Government District Head Quarters Hospital Nagapattinam with a follow-up ranging from September 2018 to January 2019 5 months. Thirty-four cases of middle third displaced (Robinson type 2b1 and 2b2) clavicular fractures are treated with plate osteosynthesis. We used a reconstruction plate, a locking compression plate, and a 1/3rd tubular plate for study.

Results: The mean time to union was 9.5 weeks. At the latest follow-up, the entire patients returned to the pre-injury activity level. One case had a superficial infection which was treated with intravenous antibiotics. There is no difference between the reconstruction group and the locking compression plate group in terms of functional outcome and union rate. We also noticed that road traffic accident and direct injury to the shoulder causes Robinson type 2b2 fractures.

Conclusions: Open reduction and rigid internal fixation of displaced midshaft clavicular fracture have resulted in a good fracture union rate and excellent functional outcome.

Author Biography

A. Palanivel, Chief Civil Surgeon, Government District Head Quarters Hospital Nagapatinnam, Tamil Nadu

assistant professor , annamalaiuniversity, chidambaram


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Original Research Articles