A study of functional outcomes following open reduction and internal fixation of clavicle fractures at kodagu
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 1
Abstract
Background: Fracture clavicle is a common bone injury due to its superficial location in the human body, making it one of the least-protected bones by muscle or fat. Fracture clavicle can be treated either conservatively or operatively depending on the type of fracture. All methods used for treatment of displaced fractures of midshaft clavicle have shortcomings. The present study aimed to assess the functional outcomes following open reduction and internal fixation of clavicle fractures at kodagu . .. Material and Methods: A total of 45 patients aged between 20 and 60 years with mid shaft clavicle fractures that were completely displaced, comminuted or with shortening of more than 15 mm (in comparison to normal side) were operated with locking pre-contoured plate using standardized protocol. Patients were followed up to 6 months of surgery to assess functional outcome by using Neer shoulder score. Results: Among 45 patients, 42(93.3%) fractures united at an average of 12 weeks. 2(4.44%) patients had delayed union and fracture united at the end of 24 weeks, 1 (2.22%) patient had non-union, fracture not united even after 6 months. The functional outcome was assessed by Neer Shoulder Score. Most of the patients i.e., 38(84.4%) had excellent functional outcome, 4 (8.88%) patients had satisfactory result, 2(4.44%) patients had unsatisfactory result and 1 had failure. Conclusion: The success of open reduction and internal fixation for middle third fractures of clavicle requires careful assessment of fracture pattern, patient selection and early mobilization. Functional outcomes were found to be better with operative management of middle third clavicle fractures with locking compression plate.
Authors and Affiliations
Mozimul Haq Siddiqui
Keywords
Related Articles
- EP ID EP469452
- DOI 10.26611/1020513
- Views 73
- Downloads 0
Idiopathic clubfoot management by Ponsetti technique hyperkyphosis
Background: Clubfoot is a birth defect where one or both feet are rotated inwards and downwards.The affected foot, calf and leg may be smaller than the other.In about half of those affected, both feet are involved Aims a...
Outcome of open fracture of long bones managed with TENS nail
Background: Open fractures of long bones can involve significant morbidity and are troublesome, as potential for contamination is high in such cases. The correct and timely management of these injuries can benefit patien...
Profile of patients suffering from colles fracture: A hospital based study
Background: Colles' fracture is a fracture of the distal radius along with dorsal (posterior) and radial displacement of the wrist and hand. Sometimes the fracture is referred to as a "dinner fork" or "bayonet" deformity...
Functional outcome of total knee arthroplasty among patients having osteoarthritis
Background: Primary osteoarthritis is more common in weight bearing joints. More than 85% of individuals older than 65 years of age have radiographically visible osteoarthritis. Objective: To assess the post-operative fu...
Clinical profile of patients with complex proximal femur fractures
In young and healthy individuals, the injury results from high energy trauma, whereas in the elder age group, most of the fractures are osteoporotic, resulting from a trivial fall. Aim: To study the clinical profile of p...