DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20171912

A prospective study on operative management of displaced fracture of midshaft of clavicle

Mohammed Ismail Hathiwale, Prakash A. Sasnur, Md. Johorul Islam Tapadar

Abstract


Background: Clavicle fractures had been traditionally treated non-operatively which resulted in high rates of non-union. The present study has been undertaken to study the role of precontoured locking compression plate in the fixation of mid-third clavicle fractures.

Methods: We reviewed the results of 25 cases of displaced middle third clavicle fractures (Robinson type 2B) which were treated with open reduction and internal fixation with pre-contoured locking compression plate at Al-Ameen Medical College and Hospital.

Results: Out of 25 patients operated with precontoured LCP, 21 were male and 4 were female patients. One patient had hypertrophic scar, one patient had plate prominence, two patients had delayed union and one patient had implant failure, none of them developed non-union. Constant Murley score was excellent in 19, good in 4 and fair in 1 patient and poor in 1 patient.

Conclusions: Precontoured locking compression plate fixation has better functional outcome, immediate pain relief, early return to function and avoids complications of conservative methods.


Keywords


Midshaft clavicle fracture, Precontoured LCP, Functional outcome

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References


Postacchini F, Gumina S, De Santis P, Albo F. Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 2002;11:452-6.

Rickert AB, Hosalkar H, Pandya N, Namdari S. Displaced Clavicle Fractures in Adolescents: Facts, Controversies, and Current Trends. J Am Acad Orthop Surg. 2013;21:1-2.

Schiffer G, Faymonville C, Skouras E, Andermahr J, Jubel A. Midclavicular fracture: Not just a trivial injury – current treatment options. Dtsch Arztebl Int. 2010;107;711-7.

Drosdowech DS, Manwell SE, Ferreira LM, Goel DP, Faber KJ, Johnson JA. Biomechanical Analysis of Fixation of Middle Third Fractures of Clavicle. J Orthop Trauma. 2011;25(1):39-43.

Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19:504-7.

Kulshrestha V. Primary Plating Of Displaced Mid-Shaft Clavicular Fractures. Med J Armed Forces India. 2008;64(3):208-11.




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