Precontoured Clavicular Locking Plate with Broad Lateral End: A Newly Designed Plate for Lateral Third Clavicle Fractures
Journal Title: Malaysian Orthopaedic Journal - Year 2018, Vol 12, Issue 1
Abstract
Introduction: Various treatment modalities are available but no consensus has been reached for optimal treatment of lateral third clavicle fractures. Precontoured locking plates with broad lateral end for multiple screws fixation is a newly designed plate for lateral third clavicle fractures. The objective of our study was to analyse the functional outcomes as well as complications of this technique in a significant number of cases with long follow-up duration. Materials and Methods: Forty-six patients with distal third clavicle fractures were treated by precontoured clavicular locking plate with broad lateral end. Functional outcomes were assessed on the basis of Constant-Murley Shoulder Outcome Score and University of California, Los Angeles (UCLA) Shoulder Rating Score, active shoulder range of motion, time for fracture union and coraco-clavicular distance. Results: The mean Constant-Murley score was 92.56±4.47 (range: 79-98) for injured side and 96.22±2.23 (range: 90-100) for normal side with p-Value 0.56. Mean coracoclavicular distance at final follow-up was 10.52±1.13 mm (range 9.7 to 11.7 mm) in injured side and 10.25±0.98 mm (range 9.6 to 11.2 mm) in normal side. Mean UCLA Shoulder Rating Score was 32.55±2.12 (range: 27-34) for injured side and 33.46±1.88 (range: 31- 35) on normal side with p value 0.58. No major complications that necessitated revision of surgery occurred in our study. Conclusion: This newly designed plate seemed extremely useful in successful union of lateral third clavicle fractures, with reduced rate of complications like fixation failures, iatrogenic rotator cuff injury, AC joint osteoarthritis and sub-acromial bursitis, with good functional outcomes.
Authors and Affiliations
Kapil Mani KC, Acharya P, Arun S
Keywords
Related Articles
- EP ID EP352076
- DOI 10.5704/MOJ.1803.003
- Views 140
- Downloads 0
Neglected Anterior Dislocation of the Elbow Joint: Case Report of a Rare Injury
We present an unusual case of five months old neglected anterior dislocation of the right elbow joint in a 19-year old man. The patient had been initially treated by a traditional bone setter, but the elbow remained unre...
Retained Intraspinal Bullet: A Rare Case in a Visitor to Malaysia - A Case Report
Firearm injuries to the spine commonly present with acute neurology caused by direct penetration or indirectly from concussive effects of bullet impact on the vertebral column. We report a case of delayed neurologic pres...
A Modified Method for Reconstruction of Chronic Rupture of the Quadriceps Tendon after Total Knee Replacement
We describe herein a modified technique for reconstruction of chronic rupture of the quadriceps tendon in a patient with bilateral total knee replacement and distal realignment of the patella. The surgery involved the ap...
Thirty years of the ASEAN Orthopaedic Association
The ASEAN Community was established in 1967 from the consensus of 5 countries in South-East Asia: Indonesia, Malaysia, Philippines, Singapore and Thailand. Three pillars have been erected to support these agreements by t...
Internal Fixation of Only the Distal End in a Bipolar Segmental Clavicle Fracture: A Case Report
Bipolar segmental clavicle fractures are simultaneous clavicle fractures of both proximal and distal ends. Few case reports describing these fractures have been published, and the management of these injuries have remain...