STUDY OF SHOULDER FUNCTION AND UNION RATES OF CLAVICLE HOOK PLATING IN TYPE II NEER FRACTURES
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 73
Abstract
BACKGROUND Fracture of the clavicle accounts for approximately 5 to 10% of all the fractures and up to 44% of injuries to the shoulder girdle. Surgical treatment has been recommended for Neer type II clavicle fractures. About 70% to 80% of these fractures are in the middle third of the bone and less often in the lateral third (18% to 25%) and medial third (5% to 6%). In surgical procedures, clavicular hook plate fixation with an extension under the acromion, which provides more rigid fixation and good bony union rates. The aim of study is to evaluate shoulder function and union rate and long-term effects of clavicle hook plate fixation for Neer type II distal clavicle fractures. MATERIALS AND METHODS The study was a case series study and was conducted for period between November 2014 to April 2016. The treatment of distal third clavicle fractures by using clavicle hook plates in 32 patients. RESULTS Fracture clavicle is common in young males. Mostly cause of fracture is road traffic accidents. Clavicle hook plate fixation with an extension under the acromion provides more rigid fixation and good bony union rates. It is associated with fewer complications and early mobilisation. CONCLUSION Clavicle hook plates are better surgical method of treatment of distal third clavicular fractures. It provides good short term as well as midterm results. Rarely using this plate may cause impingement and subacromial osteolysis without leading to functional impairment. These complications can be minimised by verification under fluoroscopy
Authors and Affiliations
Vivek Kumar, Abhinav Bhardwaj, Seema Seema, Anas Shaikh, Raj Parmar, Vikram Jasoliya, Janak Rathod
Keywords
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- EP ID EP265845
- DOI 10.14260/Jemds/2017/1140
- Views 78
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