CLINICO-FUNCTIONAL AND RADIOLOGICAL OUTCOME OF LATERAL END OF CLAVICLE FRACTURE MANAGED WITH SUBACROMIAL CLAVICULAR HOOK PLATE – AN PROSPECTIVE CASE STUDY

Abstract

Introduction :- The use of the acromioclavicular hook plate to treat lateral-third clavicle fractures is controversial . This is believed to be a result of issues with the hook plate such as impingement symptoms, which can result in chronic pain and movement limitations. Our goal was to assess the radiological functional outcome of individuals with lateral end clavicle fractures managed with subacromial hook plate. Methods And Methodology :- We prospectively reviewed all 16 patients who underwent surgery from July 2020 to August 2022 using our electronic patient information database. All patients were assessed in the out patient department to determine both Oxford and Constant shoulder scores to assess the clico-functional outcomes. Among 16 patients who underwent surgery with the hook plate Results:- , 10 male and 6 female. The mean age was 36.2 years. The median length of hospital stay was 4 days. The median follow-up was 12 months. The median time from date of injury to surgery was 7 days one patient presented 4 months after injury. The mean time for fracture union was 3 months from the date of surgery and the union rate was 95%. In total, 13 of plates were removed. The median time for implant removal was 4.5 months. In a case of fracture lateral end of Conclusion: Clavicle, open reduction and internal xation with clavicular hook plate achieves reliable internal xation with early mobilization. In view of this we state that clavicular hook plate is an reliable option for treating these types of fractures.