A prospective study on clinical outcome following surgically managed displaced clavicle fractures using pre-contoured locking plate and screws
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Background: Most acute displaced clavicular fractures conventionally have been treated non-operatively with the expectation of a high probability of fracture union, good functional outcomes, and a high level of patient satisfaction. However, the outcome of non-operative treatment is not as favorable as once thought and there has been a growing trend to treat these fractures surgically. We studied the clinical outcome of displaced clavicle fractures managed surgically by pre-contoured locking plate and screws. Materials & methods: A prospective study was carried out between October 2015 and June 2017 in SS Institute of Medical Sciences & Research Centre Davanagere, Karnataka where 50 patients with displaced clavicle fractures were treated surgically by pre-contoured locking plate & screws. They were followed up for a minimum period of 2 years by the main author and evaluated for clinical outcome using dash score and constant moreley score. Results: Out of 50 cases 42 cases had excellent results without complications & 5 patients had good result without complications. 2 cases which were going for delayed union were treated with bone grafting and 1 case, where the plate was exposed on the medial aspect at 2 months follow up, plate was removed and wound was closed in layers. Conclusion: In our study of displaced clavicle fractures, which were effectively treated surgically with pre-contoured locking plate & screws gave excellent results & to be considered one of the best surgical modality for displaced clavicle fracture management.
Authors and Affiliations
Dr. M Venkataramana Rao, Dr. Tejus DB, Dr. J Manjunath, Dr. AG Karibasappa
Keywords
Related Articles
- EP ID EP496696
- DOI 10.22271/ortho.2017.v3.i3a.10
- Views 107
- Downloads 0
Adding dynamic stability to lateral ligament reconstruction in ankle injuries
Introduction: Ankle sprains involving the anterior talo-fibular ligament are one of the commonest injuries encountered in the day to day orthopaedic practice. Routinely these chronic instabilities are also initially trea...
A study of functional outcome of correction of cubitus varus deformity by stepcut translation osteotomy
Objective To analyse the cosmetic and functional outcome of correction of cubitus varus deformity in adolescents and adults by step cut translation osteotomy. To analyse the amount of varus deformity correction obtained....
A prospective comparative study to compare orthobiological PRP platelet rich plasma intra lesional injectional therapy compare to steroid injection in treatment of Achilles tendonitis and intractable plantar fasciitis a clinical follow up study for 2 Years
Background: Achilles Tendonitis and intractable Chronic Plantar Fasciitis are a common orthopedic condition that can prove difficulty in treatment successfully. Tendon injury often become chronic because of poor blood su...
Comparative study on functional outcome of steroid injection vs conservative management in plantar Fascitiis
Plantar fasciitis is the most commonly encountered cause of heel pain often presenting after periods of inactivity. Since its aetiology is obscure, there exist multiple modalities of treatment including both conservative...
Autologous platelet injection in the treatment of long bone nonunion: A prospective interventional study
Introduction: Union of fracture is a complex process involving many systemic as well as local factors. Disturbance in any of these factors may lead to failure of process of union. This non-union is associated with increa...