Functional Outcome of Midclavicular Fracture Fixation Utilising a Reconstruction Plate

Abstract

Background: Clavicular fractures are common injuries. The aim of this study is to present results of surgical treatment of midclavicular fracture managed with open reduction and internal fixation (ORIF) with superior reconstruction plating. This study involved 34 patients, with mean age of 31 years, with completely displaced midclavicular fractures, 28 on the right and 6 on the left, stabilized by contoured plate. One patient developed an early wound infection, which was successfully managed by surgical debridement. The average time of union was 14 weeks, with one case of nonunion. The average constant score was 95.33 with SD 3.4 in one year follow up. Plate fixation of completely displaced midshaft clavicular fracture provides stable fixation and improves the functional outcome.Key WordsClavicle fracture, Open reduction and internal fixation, conservative treatment, surgical treatment

Functional Outcome of Displaced Midclavicular Fracture Fixation Utilising Plate Osteosynthesis in a Tertiary Care Centre of Tripura

“…17 In our study, there were 22 male patients and 5 female patients. This is comparable to other studies of Elidrissi et al, 18 where 32 males and 2 females were operated and Dhoju et al who included 16 male and 4 female patients.…”

Analysis of Displaced Middle Third Clavicular Fractures Treated By Plate Osteosynthesis

“…It is also comparable with study by Elidrissi et al 17 . This again indicates clavicle fracture is more common in active, working age group 20 .…”

“…There were 35 male and 5 female patients. This is comparable with other studies by Elidrissi Mohammed et al where out of 34 patients 32 were male and two were females 17 . In a study by Dhoju et al out of 20 patients 16 were males and 4 were females.…”

“…This is also comparable with the study by Elidrissi Mohammed et al where out of 34 cases 28 were on right side and 6 were left side. From this we can come to conclusion that dominant hand involves usually 17 .…”

Minimally invasive plate osteosynthesis for midshaft clavicular fractures using superior anatomic plating

“…15,24 Although the neurovascular encroachment incidence was the same for the superior plate as for the anteroinferior plate, 33 taking into account such great potential risks from neurovascular injury, more surgeons prefer superior plating for treatment of clavicular midshaft fractures. 12,18 We preferred using superior anatomic plates, and no neurovascular injury or other severe complications were observed in this study.…”