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

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Original Article

Author Details : Pramod B Itagi, Akash Kalaskar

Volume : 4, Issue : 1, Year : 2018

Article Page : 87-90

https://doi.org/10.18231/2395-1362.2018.0019

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Abstract

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.

Keywords: Clavicle fracture, Middle third, Pre-contoured locking plate.

How to cite : Itagi P B, Kalaskar A, Functional outcome of midshaft clavicle fractures treated with a pre-contoured locking plate: A prospective study. Indian J Orthop Surg 2018;4(1):87-90

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