A prospective study on clinical outcome following surgically managed displaced clavicle fractures using pre-contoured locking plate and screws
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
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. We studied the clinical outcome of displaced clavicle fractures managed surgically by pre-contoured locking plate and screws. Materials & methods: A prospective study was carried out between October 2015 and June 2017 in SS Institute of Medical Sciences & Research Centre Davanagere, Karnataka 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 2 years by the main author and evaluated for clinical outcome using dash score and constant moreley score. Results: Out of 50 cases 42 cases had excellent results without complications & 5 patients had good result 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 2 months 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 one of the best surgical modality for displaced clavicle fracture management.
Authors and Affiliations
Dr. M Venkataramana Rao, Dr. Tejus DB, Dr. J Manjunath, Dr. AG Karibasappa
Keywords
Related Articles
- EP ID EP496696
- DOI 10.22271/ortho.2017.v3.i3a.10
- Views 111
- Downloads 0
Management and Outcome of thoracolumbar spine injury cases at a tertiary care hospital
Introduction: Historically, thoracolumbar fractures have been treated with recumbency i.e. bed rest for a period of 8-12 weeks. This mode of treatment is accompanied with complications due to recumbency. It is very labor...
A comparative study of proximal femoral nailing versus dynamic hip screw device in the surgical management of intertrochanteric fractures
Introduction: Trochanteric fractures are one of the most common injuries sustained predominantly in patients over sixty years of age. Studies have shown that when compared to the dynamic hip screw, proximal femoral naili...
Comparative study of bridging Tricoticocancellous bone graft post medullary canal recanalization versus classical bone graft without opening medullary canal both procedures were used dynamic compression plate fixation in treatment of non-uniting fracture shaft humerus
Background: Nonunion of a Humerus shaft fracture after conservative treatments or repeatedly failed surgical attempts bone healing a difficult therapeutic problem especially in the presence of osteoporosis, bone defect,...
A randomized controlled trial comparing EUSOL versus antibiotic loaded collagen granules as dressing agents in the management of traumatic infected wounds
Background: Traumatic wounds are common cause of morbidity in Orthopaedic patients. There can be associated injury to various vital structures i.e bones, muscles, tendons, nerves and vessels. Despite recent advances in w...
Limb length discrepancy in total hip replacement
Introduction: Pelvic radiographs are helpful in assessing limb-length discrepancy (LLD) before and after Total Hip Replacement (THR), but are subject to variation. Different methods are used to determine LLDs. As a pelvi...