A study of functional outcomes following open redu ction and internal fixation of clavicle fractures at kodagu
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 5, Issue 1
Abstract
Background: Fracture clavicle is a common bone injury due to its superficial location in the human body, making it one of the least-protected bones by muscle or fat. Fracture clavicle can be treated either conservatively or operatively dependi ng on the type of fracture. All methods used for treatment of displaced fractures of midshaft clavicle have shortcomings. The present study aimed to assess the functional outcomes following open reduction and internal fixation of clavicle fract ures at kodagu . .. Material and Methods: A total of 45 patients aged between 20 and 60 years with mid shaft clavicle fr actures that were completely displaced, comminuted or with shortening of more than 15 mm (in comparison to normal sid e) were operated with locking pre-contoured plate using standardized protocol. Patients were followed up to 6 months of surgery to assess functional outcome by using Neer shoulder score. Results: Among 45 patients, 42(93.3%) fractures unit ed at an average of 12 weeks. 2(4.44%) patients had delayed union and fracture united at the end of 24 weeks, 1 (2.22%) patient had non-union, fracture not united even after 6 months. The functional outcome was assessed by Neer Shoulder S core. Most of the patients i.e., 38(84.4%) had excellent functional outcome, 4 (8.88%) patients had satisfactory result, 2(4 .44%) patients had unsatisfactory result and 1 had failure. Conclusion: The success of open reduction and internal fixatio n for middle third fractures of clavicle requires careful assessment of fracture pattern, patient selection and early mobiliza tion. Functional outcomes were found to be better with operative management of middle third clavicle fractures with lock ing compression plate.
Authors and Affiliations
Mozimul Haq Siddiqui
Keywords
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