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Surgical management of displaced clavicle fractures using precontoured locking plate

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Original Article

Author Details : Rakesh Kumar, Rajni Ranjan, Madhan Jeyaraman*, Arunabh Arora

Volume : 6, Issue : 3, Year : 2020

Article Page : 161-166

https://doi.org/10.18231/j.ijos.2020.031

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Abstract

Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively
with the expectation of a high probability of fracture union, good functional outcomes, and a high level of
patient satisfaction. However, the outcome of non-operative treatment is not as favorable as once thought
and there has been a growing trend to treat these fractures surgically.
Objective: To study the clinical outcome of displaced clavicle fractures managed surgically by precontoured
locking plate and screws.
Materials and Methods: A prospective study was carried out between April 2015 to March 2019 in School
of Medical Sciences & Research, Sharda University where 50 patients with displaced clavicle fractures
were treated surgically by pre-contoured locking plate & screws. They were followed up for a minimum
period of 9 months and evaluated for clinical outcome using DASH score and CONSTANT MURLEY
score.
Results: Out of 50 cases 42 cases had excellent results and 5 patients had good results without
complications. 2 cases which were going for delayed union were treated with bone grafting and 1 case,
where the plate was exposed on the medial aspect at 8 weeks follow up, plate was removed and wound was
closed in layers.
Conclusion: In our study of displaced clavicle fractures, which were effectively treated surgically with
pre-contoured locking plate & screws, gave excellent results & to be considered the best surgical modality
for displaced clavicle fracture with impending skin puncture management.

Keywords: Displaced clavicle fracture, Pre contoured LCP, DASH score, Constant MURLEY score.

How to cite : Kumar R, Ranjan R , Jeyaraman M , Arora A , Surgical management of displaced clavicle fractures using precontoured locking plate. Indian J Orthop Surg 2020;6(3):161-166

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