Affiliation:
1. Senior Resident, Department of Orthopaedics Chhindwara Institute of Medical Sciences, Chhindwara [M.P.]
2. Assistant Professor, LNCTMEDICALCollege, Indore [M.P]
3. Associate Professor Gandhi Medical College, Bhopal
Abstract
Background: Clavicle fracture is a common injury due to its subcutaneous and relatively anterior position comprising of 2.6% of all fractures.
Both non-operative and surgical methods have been described for the management of this injury .However, there is no uniform consensus on the
denite choice of treatment. Hence, this prospective study was undertaken to know the functional outcome of displaced mid shaft clavicle after
plate xation including rate of union and complications observed. Method: In this study we analysed 24 patients for mid shaft clavicle fracture for
a period of 24 months between February 2018 and January 2020 and studied union rate, complications with serial x rays and clinical examination.
Result:All patients underwent full history taking, Clinical examination and Radiographic views were taken.The youngest patient was 18 years of
age and the oldest patient was 60 years. The average patient age was 30.57 years. 17 patients (73.91%) were males while 6 patients (26.09%) were
females. In this study, 16 patients (69.56%) were operated within 2 weeks and 7 patients [30.43 %] were operated between 2 to 4 weeks... Road
trafc accident was seen in 16 patients [69.56%], fall on outstretched hand 6 patients [26.08%] had fracture of clavicle due to fall on shoulder from
two wheeler and 1 patient (4.35%) had a fall of heavy object on the affected clavicle. The functional outcome is assessed by modied Constant and
Murley score. The mean modied Constant Shoulder Score was 65.39 with range 48-72. 17 patients (73.91 %) had very good functional outcome,
good functional outcome in 5 patients (21.74 %) and mean in 1 patient (4.35 %) all patients had their fractures united by 12 weeks. Average time to
union was 8.68 weeks. In this study 1 patient (4.35%) had plate loosening which required implant removal after union and in 1 patient (4.35%) had
plate prominence and in another 1 patient (4.35%) supercial surgical site infection. Conclusion: anatomic reduction with plate xation and early
mobilization of displaced clavicle fractures is a viable treatment option, especially in young active adults with good outcomes and no major
complications.
Subject
General Economics, Econometrics and Finance,General Social Sciences,Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health,Multidisciplinary,General Chemical Engineering,Law,Surfaces, Coatings and Films,General Energy,Mechanical Engineering,Industrial and Manufacturing Engineering,Strategy and Management,Computer Science Applications,Industrial relations,Management Information Systems,Marketing,General Engineering,Developmental and Educational Psychology,Education,Engineering (miscellaneous),Instrumentation
Reference22 articles.
1. Craig EV (1998) Fractures of the clavicle. In: Rockwood CA,Matsen FA (eds) The shoulder, 3rd edn. WB Saunders,Philadelphia, pp 428–482
2. Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80(3):476–484
3. Kashif Khan LA, Bradnock TJ, Scott C, Robinson CM. Fractures of the clavicle. J Bone Joint Surg Am. 2009; 91:447–460.
4. Neer CS. Fractures of the Clavicle. In: Rockwood CA, Green DP, eds. Fractures in Adults. 2nd ed. Philadelphia, PA: JB Lippincott; 1984:707–713. 113.
5. Neer CS. Fractures of the distal clavicle with detachment of the coracoclavicular ligaments in adults. J Trauma. 1963;3:99–110. 114.