The operative treatment of displaced middle one third clavicle shaft fracture: Experience of 30 cases
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 3
Abstract
Background: Clavicle fracture is a common traumatic injury around shoulder girdle due to its subcutaneous position. Open reduction and internal fixation can be achieved with intramedullary devices or plate fixation. Aim: To study the functional outcome of surgically treated acute displaced middle one third clavicle shaft fractures with plate and screws. Material and Methods: In this study 30 patients with middle one third clavicle shaft fractures were included who underwent open reduction and internal fixation. In 15 patients natomically contoured locking compression plate, in 11 patients simple straight locking compression plate, in 3 patients dynamic compression plate and in 1 patient reconstruction plate was used. Results: Average duration for union of clavicle fracture was 12 weeks which includes 2 cases with delayed union. One patient with delayed union resulted in plate breakage which united after replating and bone grafting. Functional outcome after union of surgically treated middle one third clavicle shaft fractures was excellent in 23 patients, good in 5, and fair in 2 patients by Constant and Murley Score. Conclusion: Surgical treatment of middle one third clavicle shaft fractures with plate and screws gives immediate pain relief, early resumption of work and avoids complications like malunion and nonunion.
Authors and Affiliations
Amol Babasaheb Parturkar, Bipin Theruvil
Keywords
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