Abstract :
Introduction: We surgically treated acute displaced mid-third diaphyseal clavicle fractures with plate osteosynthesis using a precontoured locking compression plate, to evaluate the functional and radiological outcome and enumerate the complications associated with this modality of treatment.
Materials and Methods: This prospective observational clinical study involving 50 adult patients was conducted in hospital over a period of 2 years. Fractures were classified based on Allman and Robinson classification system. Patients underwent ORIF with 3.5mm precontoured locking compression plate. Regular follow up for a minimum period of 6 months was done clinically and radiologically. Duration required for fracture union was studied, functional outcome was measured using Constant Murley score
and complications if any were noted.
Results: The functional outcome is assessed at the end of 6 months by the Constant and Murley scoring system. The mean constant score was 93.32% with a standard deviation of 6.67% and a range of 71% to 100%. In our study, 36 cases had excellent functional outcome, 10 cases had good functional outcome and 4 cases had fair functional outcome. None of the patients had a poor outcome.
Conclusion: Bony union could be achieved with pre-contoured locking compression plate by reducing the complication rates in midshaft comminuted displaced clavicle fractures and functional outcome were satisfactory. Overall operative treatment using precontoured LCP is effective in the treatment of displaced mid-third clavicle fractures. All the fractures achieved union and there were no cases of non-union.
Keyword :
Clavicle, Fracture, Midshaft, Precontoured locking compression plate.