Abstract :
Background: The study aimed to analyze the outcomes of clavicle fractures in adults with established non
union of mid third clavicle treated surgically and outcome of fracture union in terms of functionality of shoulder.
Methods: 14 Non union clavicle fractures were treated in the Orthopedics Department at our tertiary institute.
The average duration of surgery was 6 months from the date of injury. All the clavicle fracture non unions were
operated using anatomical plate on superior side. None of the fractures had undergone any bone grafting. The
shoulder function was evaluated using standard Constant Murley scoring system and American shoulder and
elbow score (ASES). Results: Average time since injury was 11 months (range 6- 22 months). The majority 88%
of patients had road traffic accidents. All 14 patients had optimum patients outcome scores with improvement in
constant score from 46 pre-operatively to 89 postoperatively whereas ASES score improved from 46.6 preoperatively
to 94.0 postoperatively. The majority of non-union clavicle fractures were dissatisfied due to
cosmetic, overhead-restricted endurance in shoulder activities and clavicular shortening. Conclusion: The
operative treatment of non-union clavicle yields significantly improved outcomes with respect to shoulder
function
Keyword :
Non-union Clavicle fractures