FUNCTIONAL OUTCOME OF DISPLACED MIDCLAVICULAR FRACTURE FIXATION UTILISING PLATE OSTEOSYNTHESIS IN A TERTIARY CARE CENTRE OF TRIPURA
English

Bhupes Sil, Sankar Debroy, Sandeep Kumar Deep
2018 Journal of Evolution of Medical and Dental Sciences  
BACKGROUND Clavicular fractures are common and frequent, and they account for 5-10% of all fractures with midshaft fractures comprising 80-85%. Conservative methods were the mainstay of treatment previously, but recent trends indicate that surgical fixation in cases with displaced fractures gives better functional results, decreased rate of non-union and early recovery. MATERIALS AND METHODS A prospective observational study was conducted in a tertiary care centre of Tripura between June 2016
more » ... between June 2016 and Nov 2017, where 27 cases of displaced midclavicular fractures were treated with open reduction and internal fixation with 2 different types of plates. Out of 27 cases, eight were fixed with reconstruction plates and 19 with anatomical locking compression plate. Follow-up was done at regular interval with a minimal follow-up of 6 months and maximum upto 16 months. Functional outcome was evaluated using Constant-Murley score. RESULTS Majority (81%) of the cases were males belonging to 20 -30 years' age group. 70% of the cases were under Robinson type 2B1 classification and rest were in 2B2. 25 (93%) fracture cases united within 12 weeks with a mean of 9.4 weeks, 1 case went into non-union with implant failure and 1 case into delayed union. In the minor post-operative complications, 3 cases complained of hypertrophic scar, 2 cases of incisional numbness and no case of wound infection was seen. Majority (81.4%) of the cases had excellent functional score, while only 3.7% cases showed poor score. CONCLUSION Surgical fixation in acute displaced midshaft clavicle fractures results in early union with decreased complications, giving excellent functional outcome and early return to work. KEY WORDS LCP-Locking Compression Plate. HOW TO CITE THIS ARTICLE: Sil B, Debroy S, Deep SK. Functional outcome of displaced midclavicular fracture fixation utilising plate osteosynthesis in a tertiary care centre of Tripura. BACKGROUND Clavicle fractures are commonly found in young age groups accounting for 5 to 10% of all fractures 1 and represents 35-44% of all shoulder girdle injuries. 2-5 80-85% of these fractures occur in the midshaft, 6 21-28% in lateral end and 2-3% in medial end. 7 General consensus was that majority of clavicle fractures heal well without operative intervention. Till now neurovascular compromise and open fractures were the only indications for surgical management. 8 But recent studies showed that an exception should be made for the subgroup of patients called as Displaced Midshaft Clavicle
doi:10.14260/jemds/2018/1078 fatcat:ntlghlrx4fe3nav36eczdg6tti