Abstract :
Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively
with the expectation of a high probability of fracture union, good functional outcomes, and a high level of
patient satisfaction. However, the outcome of non-operative treatment is not as favorable as once thought
and there has been a growing trend to treat these fractures surgically.
Objective: To study the clinical outcome of displaced clavicle fractures managed surgically by precontoured
locking plate and screws.
Materials and Methods: A prospective study was carried out between April 2015 to March 2019 in School
of Medical Sciences & Research, Sharda University where 50 patients with displaced clavicle fractures
were treated surgically by pre-contoured locking plate & screws. They were followed up for a minimum
period of 9 months and evaluated for clinical outcome using DASH score and CONSTANT MURLEY
score.
Results: Out of 50 cases 42 cases had excellent results and 5 patients had good results without
complications. 2 cases which were going for delayed union were treated with bone grafting and 1 case,
where the plate was exposed on the medial aspect at 8 weeks follow up, plate was removed and wound was
closed in layers.
Conclusion: In our study of displaced clavicle fractures, which were effectively treated surgically with
pre-contoured locking plate & screws, gave excellent results & to be considered the best surgical modality
for displaced clavicle fracture with impending skin puncture management.
Keyword :
Displaced clavicle fracture, Pre contoured LCP, DASH score, Constant MURLEY score.