Study of Functional and Radiological Outcome of Midshaft Clavicle Fractures Managed Operatively With Plating
ntroduction: Clavicle is one of the commonly fractured bones. Shortcomings of conservative treatment are non-cosmetic
bump in addition to non-union in few cases. Shortcomings of operative treatment are hypertrophic scar and hardware-related
issues in addition to surgical site infection possibility. Hence, we decided to carry out prospective follow-up study.
Materials and Methods: A prospective follow-up study was done in 57 consecutive patients from February 2016 to January
2017 at MIMER Medical College, Talegaon Dabhade. Patients were operated with precontoured 3.5 mm dynamic compression
plate over superior aspect of clavicle. Patients were followed up at 2, 4, 6, 12, and 24 weeks after operation.
Results: In our study, mean time for radiological union was 39.4 days only with operative treatment. In our study, only there was
only one case of non-union of 51 patients were present (<2%). Overall, satisfaction rate after operative treatment was quite high
in our study. There were hardware problems in 10 cases of 51 patients, that is, about 19.60% of cases. These included screw
loosening (4 cases) and hardware prominence in 6 cases (i.e. 11.76%). Hypertrophic scar in 2 cases (3.92%) and infection in
1 case (1.96%) were seen. Range of motion of shoulder was near normal.
Conclusion: Open reduction and internal fixation of midshaft clavicle fractures give good functional and radiological outcomes
with high patient satisfaction rate without any major complication.
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