Study of Functional and Radiological Outcome of Midshaft Clavicle Fractures Managed Operatively With Plating
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2018, Vol 6, Issue 3
Abstract
Introduction: Clavicle is one of the commonly fractured bones. Shortcomings of conservative treatment are non-cosmetic bump in addition to non-union in few cases. Shortcomings of operative treatment are hypertrophic scar and hardware-related issues in addition to surgical site infection possibility. Hence, we decided to carry out prospective follow-up study. Materials and Methods: A prospective follow-up study was done in 57 consecutive patients from February 2016 to January 2017 at MIMER Medical College, Talegaon Dabhade. Patients were operated with precontoured 3.5 mm dynamic compression plate over superior aspect of clavicle. Patients were followed up at 2, 4, 6, 12, and 24 weeks after operation. Results: In our study, mean time for radiological union was 39.4 days only with operative treatment. In our study, only there was only one case of non-union of 51 patients were present (<2%). Overall, satisfaction rate after operative treatment was quite high in our study. There were hardware problems in 10 cases of 51 patients, that is, about 19.60% of cases. These included screw loosening (4 cases) and hardware prominence in 6 cases (i.e. 11.76%). Hypertrophic scar in 2 cases (3.92%) and infection in 1 case (1.96%) were seen. Range of motion of shoulder was near normal. Conclusion: Open reduction and internal fixation of midshaft clavicle fractures give good functional and radiological outcomes with high patient satisfaction rate without any major complication.
Authors and Affiliations
Swapnil Bhise, Ashok Ohatker, Santosh Borkar, Siddheshwar Thosar, Nitin Kanode, Sameer Desai
Keywords
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