A prospective study on operative management of displaced fracture of midshaft of clavicle

Hathiwale, Mohammed Ismail; Sasnur, Prakash A.; Tapadar, Md. Johorul Islam

doi:10.18203/issn.2455-4510.intjresorthop20171912

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…Periosteal stripping is minimized to promote rapid union. 18 In our study we have prospectively analysed the outcome of clavicle fractures treated with precontoured locking compression plates in 50 patients. We have taken into account statistically the age distribution, gender, nature of trauma, side involved, duration of union, range of movements attained at the end of study and results according to scoring systems.…”

Section: Discussionmentioning

confidence: 99%

A clinical study of displaced clavicle fractures treated with precontoured locking compression plate

Naidu¹,

Anand²

2017

Int J Res Orthop

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INTRODUCTIONClavicle is the horizontally placed collar bone that connects the upper limb to the trunk and plays a very important role in mobility and anatomical stability of upper limb. Its subcutaneous position makes it vulnerable to traumatic injuries.1 Fractures which involve the clavicle are very common and account for almost 5-10% of all the fractures and up to around 45% of those which involve the shoulder girdle. Fractures of the mid shaft of the clavicle account for about 80% of all the clavicular fractures.2-5% of all the fractures in the adults and 10-15% in children are estimated to be due to fractures of the clavicle. 2Most of these fractures occur due to a direct blow to the anterior chest wall or by falling on the outstretched hand. The most common site of clavicle fracture is said to be ABSTRACT Background: Fractures which involve the clavicle are very common and account for almost 5-10% of all the fractures and up to around 45% of those which involve the shoulder girdle. Most of these fractures occur due to a direct blow to the anterior chest wall or by falling on the outstretched hand. Traditionally, clavicular fractures have been treated with conservative methods, but the outcome was poor, leading to patient dissatisfaction. An option is the precontoured locking plates which provide immediate relief, stabilization and early mobilization, more so because they do not require further bending. Methods: 50 patients, above 18 years of age, with closed displaced clavicular fractures were included in the study. Clinical evaluation was done for all the patients using the Constant-Murley score. Precontoured locking compression plate was inserted surgically for the treatment of the fracture and follow-up was done for 6 months postoperatively. Results: Out of the 50 patients studied, 42 were males (84%) and 8 (16%) were females. Most of the patients belonged to 21-50 years of the age group. Road traffic accidents were the most common cause (98%) for this type of fractures. Most of the fractures were united by 11-12 weeks of duration (42%), closely followed by a time period of 9-10 weeks (40%). Most of the patients showed full range of movement (84%), while 6% showed movements which were restricted by 20 0 and 10% showed 30 0 restrictions. In 32% of the cases, the outcome was excellent while only 6% of the patients showed a fair outcome. Conclusions: Displaced mid-shaft clavicle fractures treated with precontoured locking compression plates gave good functional outcome and patient satisfaction with excellent reunion rates.

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Section: Discussionmentioning

confidence: 99%

A clinical study of displaced clavicle fractures treated with precontoured locking compression plate

Naidu¹,

Anand²

2017

Int J Res Orthop

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“…As these are limited contact plates, there is preservation of blood supply due to minimal surface contact of plate with bone and because of the locking property excess tightening is not possible and in return that decreases the compression of plate on the bone which helps in preservation of blood supply. 12 Because of the locking property of the plate and screw it is not necessary that the tip of the screw should pass the opposite cortex but care should be taken during drilling. Decreased periosteal stripping results in rapid union.…”

mentioning

confidence: 99%

“…Decreased periosteal stripping results in rapid union. 12 Use of pre-contoured anatomical plate also decreases the procedure timing as it is pre-bent according to the shape of the clavicle.…”

mentioning

confidence: 99%

Functional outcome of midshaft clavicle fractures treated with a pre-contoured locking plate: A prospective study

Itagi¹,

Kalaskar²

2020

IJOS

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Introduction: Traditionally, displaced mid clavicular fractures have been treated with conservative methods. Conservative methods like strapping gives mediocre results. The present study has been undertaken to study the role of pre-contoured locking compression plate in the fixation of mid-third clavicle fractures. Materials and Methods: 40 patients with mid-shaft clavicle fractures (Robinson 2B) with displacement >2 cms were treated with open reduction and internal fixation with a pre-contoured locking plate and functional outcome through 3 months was assessed. Results: Union was seen radiologically in all the fractures by 10-12 weeks. The average Constant-Murley score at 3 months was 93.5. None of our patients had complications like malunion, wound dehiscence, hardware irritation, early mechanical failure, incisional numbness, infections and neurovascular damage. There were 4 patients with hardware prominence, 2 cases of hypertrophic scar formation, 2 patients with delayed union at 18 weeks and 1 case of plate loosening. Conclusions: Pre-contoured locking plate fixation in displaced fractures of clavicle allows earlier return to a pain free functional shoulder.

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Evaluating the Outcomes of Managing Displaced Clavicular Fractures by Using Precontoured Clavicular Plates

Paul,

Gupta

et al. 2024

Cureus

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Background and objectiveMidshaft clavicular fractures were managed conservatively in the past, with a significant incidence of nonunion and poor functional outcomes in displaced fractures. Anatomically precontoured clavicle plates, since their introduction, have proved to be a superior method for managing these fractures. While open reduction and internal fixation of displaced clavicular fractures with plates have produced successful functional outcomes, complications like plate prominence, scar, postoperative numbness, wound dehiscence, refracture, and infection continue to discourage surgeons from plating these fractures. This study aimed to evaluate whether the precontoured 3.5-mm locking compression plate (LCP) for the clavicle is effective in the management of displaced clavicular fractures with minimum risk of complications. MethodsA prospective observational study was conducted among 26 patients with displaced clavicular fractures that were managed with 3.5-mm precontoured LCP. The functional outcome was assessed by using the Constant-Murley Score (CMS) and healing was assessed radiographically six months postoperatively. ResultsTwenty-five patients were available for the final follow-up at the end of 24 weeks. All of them achieved excellent functional scores. The mean CMS was 94.9. No complication was observed in 85% of the cases. Implant failure was observed in both fractures of a bilateral clavicle fracture patient within a month of surgery. Implant irritation without prominence was seen in one patient and another had a prominent postoperative scar. The mean time for the radiological union was 13.8 weeks with union time ranging from three to five months. ConclusionsBased on our findings, employing 3.5-mm precontoured clavicular LCPs is a useful technique that can provide good functional outcomes in displaced clavicular fractures.

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A prospective study on operative management of displaced fracture of midshaft of clavicle

Cited by 3 publications

References 3 publications

A clinical study of displaced clavicle fractures treated with precontoured locking compression plate

A clinical study of displaced clavicle fractures treated with precontoured locking compression plate

Functional outcome of midshaft clavicle fractures treated with a pre-contoured locking plate: A prospective study

Evaluating the Outcomes of Managing Displaced Clavicular Fractures by Using Precontoured Clavicular Plates

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