Clinical study clavicular fractures by surgical intervention
Journal Title: Medpulse International Journal of Orthopedics - Year 2018, Vol 6, Issue 3
Abstract
Background: The most common fractures encountered in clinical orthopaedic practice are fractures involving the clavicles. The treatment of choice in comminuted or displaced fractures involving the clavicles was always conservative using Figure of 8 bandage. However, many of these fractures went in for non-union and some for gross malunion. Over time, for displaced fractures, internal fixation either percutaneously using steinman pin, K wire or TENS nail/ ORIF with plate and screws were used. This prospective study was conducted to evaluate the results of surgical intervention using a 3.5-mm reconstruction plate for the treatment of displaced clavicle fractures. Patients and Methods: Between January 2014 and November 2016, 25 patients with displaced clavicle fractures were treated with surgical intervention using 3.5 reconstruction plate. The prerequisites/indications for surgery included complete displacement and comminution classified following Allman's classification. Results: The mean time to union was 11 weeks (range 8–14 weeks). At the time of last follow-up i.e. 24 weeks, all the fractures were healed and the patients were advised to get back to their preinjury activity. Conclusion: Surgical intervention is an effective and definitive treatment modality for displaced clavicle fractures, with few complications and early return of shoulder function. The procedure provides stable fixation, avoids risk to vital structures below the clavicle, and is associated with a low rate of implant-prominence problems
Authors and Affiliations
Prakash Channabasappa Wali, Satish Shankar Nesari
Keywords
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