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ORIGINAL ARTICLE
Year : 2021  |  Volume : 13  |  Issue : 2  |  Page : 90-107

Study of outcome of using anatomically precontoured plates in the management of displaced fracture of midshaft clavicle


Department of Orthopaedics, Jhalawar Medical College, Jhalawar, Rajasthan, India

Correspondence Address:
Dr. Mahaveer Meena
Department of Orthopaedics, Jhalawar Medical College, Jhalawar - 326 001, Rajasthan
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_18_19

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Introduction: Clavicle fracture is one of the most common bony injuries. The most commonly used system of classification of clavicular fractures is that of Allman. It is divided into three groups: Group I – Middle third clavicle fractures (80% of all clavicle fractures), Group II – Lateral third clavicle fractures (15% of all clavicle fractures), and Group III – Medial third clavicle fractures (5% of all clavicle fractures). The prevalence of nonunion or malunion in dislocated midshaft clavicular fractures after conservative treatment is higher than previously presumed, and fixation methods have evolved. Surgery is accepted more and more as primary treatment for dislocated midshaft clavicular fractures, mainly because the results of nonoperative treatment are interpreted as inferior to operative treatment both clinically and functionally. Primary internal fixation of displaced comminuted midshaft clavicular fractures leads to predictable and early return to function. The purpose of this study was to assess the functional outcome of midshaft clavicular fractures treated with precontoured locking compression plate. Methodology: Patients with displaced fractures of clavicle (midshaft) admitted to SRG Hospital, Jhalawar, Rajasthan, from August 2017 to August 2018 were taken up for the study after taking the required consent. Thirty-four patients of displaced fractures of clavicle, satisfying inclusion criteria, were admitted in the study period and were taken up for the study. The results were analyzed by appropriate statistical methods. Results: In our study, 34 cases of displaced middle third clavicular fractures were treated with plate osteosynthesis using anatomically precontoured clavicle plate. Of 34 cases, 16 cases united in 8 weeks, while at the end of 12 weeks, all cases united except one. Of the 34 patients, 24 patients returned day-to-day activities after 2–3 weeks. Of the 34 cases, 30 patients returned to work within 3 months. Of 34 cases, 33 had excellent score and one had fair score. Conclusion: In our study, open reduction and rigid internal fixation of displaced midshaft clavicular fracture has resulted in good fracture union rate and excellent functional outcome.


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