FUNCTIONAL OUTCOMES & COMPLICATIONS OF CLAVICLE FRACTURE TREATED WITH LOCKING PLATES IN ADULTS
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Keywords
clavicle fractures, functional outcome, Plating
Abstract
Introduction: The clavicle is a bone that links the thorax to the shoulder and enables movement at the shoulder joints. Clavicle fractures are the most common fractures in the upper extremity. The purpose of the study was to prospectively analyse the functional outcome of mid third displaced clavicular fractures treated by open reduction and internal fixation with anatomical clavicular plate.
Materials And Methods: A Quasi experimental study was done in the Department of Orthopaedics at a tertiary care hospital. 25 patients with midshaft clavicle fractures with age between 18 to 60 years were included in the study after the inclusion & exclusion criteria were fulfilled. The functional outcome was assessed by Constant and Murley score. Data was collected and compiled using Microsoft Excel. Statistical analysis was done using descriptive statistics.
Results: Mean age was 36.64 ± 10.74 years. 20 (80 %) patients were male and 5 (20%) patients were male. 15 (60%) patients had RTA injury and 10 (40%) patients had fall from height injury. Left side clavicle was affected in 16 (64%) patients, right side clavicle was affected in 8 (32%)patients and bilateral clavicle was affected in 1 (4%) patient. At 1year follow-up, excellent outcome was noted in 20 (80 %) patients. 2 (8%) patients developed Hypertrophic skin scar, 2 (8%) patients developed Hypertrophic skin scar & 1 (4%)patient developed Superficial infection
Conclusion: Treating mid-third clavicle fractures with a locking plate results in dependable bone union and a more rigid stable fixation that does not require immobility for extended periods of time. It leads to early enhanced patient and surgeon orientation, functional outcomes, and lower incidence of non-union and malunion.
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Dr. Y. Devadas
Associate Professor, Department of Orthopaedics, Viswabharathi Medical College & Hospital, Kurnool, Andhra Pradesh
Dr. Mohammad Gulabi
Assistant Professor, Department of Orthopaedics, Viswabharathi Medical College & Hospital, Kurnool, Andhra Pradesh
Dr. P. Rohit Raj
Associate Professor, Department of Orthopaedics, Viswabharathi Medical College & Hospital, Kurnool, Andhra Pradesh
Dr. K. Sai Ramakumar Reddy
Junior Resident, Department of Orthopaedics, Viswabharathi Medical College & Hospital, Kurnool, Andhra Pradesh