Functional Outcomes of Displaced Fracture Clavicle Treated With Anatomical Locking Plate.

Abstract

Introduction:

Clavicle fracture is one of the most common bony injuries.

They account for 2.6% to 4% of adult fractures and 35% of injuries to the shoulder girdle.The clavicle is an S-shaped bone. It acts as a strut between the glenohumeral joint and the sternum and also has a suspensory function to the shoulder girdle . The shoulder hangs from the clavicle by the coraco-clavicular ligament

Objectives:

To analyze the functional results of displaced fracture clavicle treated with open reduction and internal fixation with anatomical locking plate To study the duration of union. To study the complications of displaced fracture clavicle and their management.

Methodology:

Study design:

This is a prospective study of functional outcome of functional outcome of displaced fracture clavicle treated with anatomical locking plate.The study is conducted in the department of Orthopaedic surgery at VMKV Medical College and Hospitals, Salem.

Inclusion Criteria:

1) Either sex, aged more than 18 years

2) Patients who were medically fit and willing for surgery.

3) Patients who have given a written informed consent

4) Comminuted fractures

5) Displaced fractures (>2cms)

6) Shortening (>2cms)

7) Segmental fractures

8) Fractures with tenting of the skin.

Exclusion criteria:

1) Open fractures

2) Pathological fractures

3) Established nonunion from previous fractures

4) Associated neurovascular injury or injuries of shoulder girdle

5) Clinically important neuromuscular upper limb disability

6) Previous operations to shoulder or clavicle

7) Previous fractures around the clavicle

Results:

This study is a prospective study which was conducted in the Department of Orthopaedics. A total of 30 cases who sustained fractures of clavicle were included in the study as per the inclusion and exclusion criteria.