Internal Fixation of Middle Third Clavicle Fractures
Journal Title: International Journal of Contemporary Medical Research - Year 2016, Vol 3, Issue 1
Abstract
Introduction: Clavicle is the bone which connects the axial and appendicular skeleton. It’s the first bone to ossify. The integrity of clavicle is essential for proper function of shoulder. Hence clavicle fractures have to be fixed for better functioning of the same side shoulder. Materials and methods: The aim is to study the functional and radiological outcome of mid third clavicle fractures treated by internal fixation. We had 57 cases. Allman classification was used to classify the fracture. The period of the study was between 2009 – 2013. The implant used was 3.5 mm reconstruction plate.The cases were followed up regularly at the intervals of 6, 12, 18 and 24 weeks. X ray was taken immediate post op and during every follow up. Post operatively evaluated using constant and Murley scoring system. Results: Total number of cases were 57. Among the 15 non unions which were operated 9 were post traumatic and rest were natively treated with traditional bone setters. Complications are three plate failures, one sub-acute infection and two cases with stiff shoulder. Conclusion: Ambulatory treatment of fracture with arm support while maintaining satisfactory and acceptable alignment of fracture is the mainstay of treatment today. Clavicle fractures with indications give good results with operative treatment.
Authors and Affiliations
P. Ramesh Vyravan, B. Nellaiyappan, M. Mohankumar
Keywords
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