Plate fixation in midshaft fracture clavicle

Attia, Mohamed E; Zanfaly, Amr I.

doi:10.4103/1110-1148.154080

Cited by 3 publications

(2 citation statements)

References 2 publications

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“…Most of the patients presenting to our hospital with clavicle fractures were a result of road traffic accidents. This result had similar findings as compared to the numerous studies done by Ramkumar et al [14] , Mohamed E. Attia et al, [18] & H. Jiang et al [16] .…”

Section: Complications (Figure 8)supporting

confidence: 90%

The study of the functional outcome between surgical and conservatively treated clavicular fractures

Kassim¹,

Rai²,

Hegde³

et al. 2020

Int. J. Orthop. Sci.

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Background: One of the most frequently fractured bones in the body is the clavicle. Traditionally, midshaft clavicle fractures have been treated conservatively. There is a higher prevalence of patients with displaced midshaft clavicle fractures going in for non-union or mal-union after conservative treatment than in those treated with Open Reduction & Internal Fixation (ORIF). The primary treatment for displaced midshaft clavicular fractures is surgery. Improved functionality, a reduction in the time taken for a union, and early return to activity were observed in patients treated operatively as compared to those treated with a conservative approach. Materials and methods: The

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Section: Complications (Figure 8)supporting

confidence: 90%

The study of the functional outcome between surgical and conservatively treated clavicular fractures

Kassim¹,

Rai²,

Hegde³

et al. 2020

Int. J. Orthop. Sci.

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show abstract

“…A similar complication was noted in studies done in similar settings. 11,25,29,30 One patient in our study developed numbness over the scar site for up to 3 months which was resolved at the final follow-up. This finding was similar to a study where cutaneous hypoesthesia following plate fixation occurred which resolved gradually over a period of time.…”

Section: Discussionmentioning

confidence: 70%

Displaced Midshaft Clavicular Fractures among Patients with Clavicular Fracture Admitted to the Orthopaedic Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Nepal¹,

Karki²,

Shrestha³

et al. 2023

J Nepal Med Assoc

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Introduction: Midshaft clavicular fractures are common among young adults. Open reduction and internal fixation of displaced midshaft clavicular fractures with plate and screws have been shown to decrease nonunion, symptomatic malunion, and residual shoulder disability compared with non-operative treatment allowing early pain-free movement and early return to work. The aim of this study was to find out the prevalence of displaced midshaft clavicular fractures among patients with clavicular fractures admitted to the orthopaedics department of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Orthopedics of a tertiary care centre from 31 January 2016 to 31 December 2019 after receiving ethical approval from the Institutional Review Committee (Reference number: 659/2021 P). Data were collected using hospital-based records from patients of the age group 18 to 50 years. Convenience sampling method was used. Point estimate and 95% confidence interval were calculated. Results: Among 120 patients, the prevalence of displaced midshaft clavicular fractures was 40 (33.33%) (24.90-41.76, 95% Confidence Interval). Among them 39 (90%) were males and 4 (10%) were females and the mean age of 31.45 years. The average Constant-Murley score were 95.68±5.59. Conclusions: The prevalence of displaced midshaft clavicular fractures among patients with clavicular fractures admitted to the Department of Orthopedics was lower than the other studies done in similar settings.

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Functional Outcome of Surgical Management of Mid-diaphyseal Clavicle Fractures Treated by Plate Osteosynthesis

Ramalingam,

Kumar,

Dhivaakar

et al. 2023

Journal of Orthopedics, Traumatology and Rehabilitation

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Introduction: Clavicle fractures make up 5% to 10% of all fractures. They result from direct high-energy trauma to the bone or falls on the lateral side of the shoulder. In recent years, clavicle fractures have become more common, and their surgical treatment has increased proportionally. Therefore, a proper understanding of anatomy, mechanism of injury, and radiographic interpretation form the basis of a good outcome. Fractures treated with open reduction and internal fixation (ORIF) will have a good functional and radiological outcome. This study is aimed to evaluate the mid-diaphyseal clavicle fractures treated with ORIF. Materials and Methods: In this prospective study, 30 patients who had mid-diaphyseal clavicle fractures according to Allman’s classification underwent ORIF from June 2020 to June 2022. All patients were followed up for 6 months and an assessment of the outcome was done. Results: Out of 30 patients treated, overall excellent to good outcomes were obtained in 26 patients. No statistical significance was noted between age, sex, mode of injury, and different method of fixation on functional outcome. Overall, the meantime of the fracture union was 16 weeks. Five patients developed complications in our study, surgical site infection in one patient, shoulder stiffness for two patients, implant failure for one patient, and hardware irritation in one patient. Conclusion: Anatomical reduction and stable fixation are essential to good fracture union. It helps in early mobilization of the shoulder, preventing stiffness, and is associated with great patient satisfaction. Earlier the fracture union better the functional outcome.

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Plate fixation in midshaft fracture clavicle

Cited by 3 publications

References 2 publications

The study of the functional outcome between surgical and conservatively treated clavicular fractures

The study of the functional outcome between surgical and conservatively treated clavicular fractures

Displaced Midshaft Clavicular Fractures among Patients with Clavicular Fracture Admitted to the Orthopaedic Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study

Functional Outcome of Surgical Management of Mid-diaphyseal Clavicle Fractures Treated by Plate Osteosynthesis

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