Anterior Plating of Displaced Middle Third Fractures of Clavicle --------An Effective Alternate Method---------
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Background: Various techniques namely Krishner wire fixation, Knowles pin fixation, Elastic intra-medullary nailing and intra-medullary fixation has been described for the treatment of grossly displaced fractures of mid one third Clavicle. Various types of open reduction and internal fixations with reconstruction plates and anatomical ‘ S ‘ shaped plates and were popularly done for the same indication. While there is agreement that grossly displaced fractures and comminuted fractures should be internally fixed, selecting the best form of fixation is debatable. Commonly done plating is at the superior surface. It is associated with neuro-vascular injury and striping of muscles which may lead on to non-union. In this study we did plating on anterior-inferior surface and studied our results. Materials and Methods: We retrospectively reviewed 52 patients of mid one third fractures of clavicle, who underwent anterior plating at our hospital Sri Venkataewaraa medical College and research centre, Ariyur, PONDICHERRY, between June 2009 to June 2012. We analysed the results and evaluated using the UCLA shoulder rating scale and QUICK DASH ( Disabilities of Arm, Shoulder and Hand ) score. Results: At the time of latest follow-up all the fractures united well radiologically and all the patients returned to pre-injury activity level. The average UCLA SCORE was 29 ( Range 25 to 32 ) suggesting good to excellent outcome. The QUICK DASH score was 6.8 ( Range 4.5 to 13.6 ). All the patients were satisfied with outcome of surgery. Conclusion: Our study shows that Anterior plating of mid 1/3rd Clavicle provides stable fixation, early return of function without neuro-vascular complications.
Authors and Affiliations
Dr. Selvam, Dr. Karthik Anand
Keywords
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- EP ID EP369383
- DOI 10.9790/0853-1703082428.
- Views 52
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