A prospective study of functional outcome of displaced middle third clavicular fractures treated by plate osteosynthesis.

Prasobh, C (2014) A prospective study of functional outcome of displaced middle third clavicular fractures treated by plate osteosynthesis. Masters thesis, Governmenr Mohan Kumaramangalam Medical College, Salem.

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Abstract

INTRODUCTION: Clavicle is the bony link from thorax to shoulder girdle and contributes to movements at shoulder girdle. Clavicle fracture is a common traumatic injury around shoulder girdle due to their subcutaneous position. Recent studies have showed a higher rate of nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures. The purpose of the study is to prospectively analyze the functional outcome of mid third displaced clavicular fractures treated by open reduction and internal fixation with plate osteosynthesis. MATERIALS AND METHODS: Thirty four cases of middle third displaced (Robinson type 2b1 and 2b2) clavicular fractures are treated with plateosteosynthesis. We used Reconstruction plate, Locking compression plate and 1/3rd tubular plate for study. Out of 34 cases 29 were males and 5 females. Right side clavicle involved more than left side. The primary outcome measures are functional constant score and radiological union time. The clinical and radiological assessments were performed at every 2nd week till 3rd month. The secondary outcome measures include per operative data (mean surgery time, blood loss), type of fracture based on mode and mechanism of injury and the complication rates. RESULT: The mean time to union was 9.5 weeks. At the latest follow up, the entire patients returned to the pre-injury activity level. Implant failure occurred in one patient in whom 1/3rd tubular plate was used. It was mal united and the patient has good functional outcome. The mean constant score was 94.14. Four patients complained of hard ware irritation. Implant removed in two patients and there is no re fracture. One case had superficial infection which was treated with intravenous antibiotics. There is no difference between Reconstruction group and Locking compression plate group in terms of functional outcome and union rate. We also noticed that Road traffic accident and direct injury to the shoulder causes Robinson type 2b2 fractures. CONCLUSION: Open reduction and rigid internal fixation of displaced midshaft clavicular fracture has resulted in good fracture union rate and excellent functional outcome.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Clavicle, Middle third, Displaced, Fractures, Reconstruction plate, Locking compression plate, Functional outcome.
Subjects: MEDICAL > Orthopaedics
Depositing User: Subramani R
Date Deposited: 21 Sep 2017 02:10
Last Modified: 21 Sep 2017 02:10
URI: http://repository-tnmgrmu.ac.in/id/eprint/3028

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