Locking plate fixation of mid-shaft clavicle fractures: analysis of complications, reoperation rates and functional outcome
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 3
Abstract
Introduction: Clavicle fractures account for about 5-10% of all fractures and most of these fractures are located in the middle third of clavicle. Traditionally, these fractures have been treated by conservative methods. In recent years, surgical fixation of these fractures is becoming a prefered method of treatment and locking plate fixation is a commonly used mode of osteosynthesis. However, the functional results and complications of locking plate fixation documented in the literature are not clear and often conflicting. So the aim of this study is to analyse the results of locking plate osteosynthesis of mid-shaft clavicle fractures. Objective: To study complications, reoperation rates and functional outcome of clavicle fractures treated with locking plate osteosynthesis. Methods: Sixty Seven cases of mid-shaft clavicle fractures who underwent locking plate fixation in our orthopaedic department from January 2013 to December 2016 were identified. Those patients who attended regular follow-up and had recorded Constant-Murley Scores (CMS) were included. Seven patients who did not attend regular follow-up or had incomplete records were excluded from analysis. The study group comprising 60 patients were analysed for complications and functional outcome by studying patient records and x-rays. Results: There was one case of failure of fixation with non-union and 8 patients had their plate removed for discomfort. Overall, there were 92 % excellent to good, 5% fair and 3% poor results. There were no cases of infection. Conclusion: The locking plate osteosynthesis gives good to excellent functional outcome in most of the patients. It helps with early mobilisation and prevents shoulder stiffness. The overall rate of implant failure and non-union after plate fixation is low. The necessity of removal of implant in significant number of patients should be kept in mind.
Authors and Affiliations
Dr. Saidapur SK, Dr. Khadabadi NA
Keywords
Related Articles
- EP ID EP501581
- DOI 10.22271/ortho.2017.v3.i3o.156
- Views 100
- Downloads 0
Closed intramedullary nailing in forearm bone fractures without use of intraoperative imaging
Purpose: The upper limb is an important integral part of body and loss of whole upper limb according to Workman Compensation Act takes away 90% of the earning capacity of an individual. The successful treatment of forear...
Proximal femoral nail: A boon for peritrochanteric fractures
Expected age of human race has increased, leading to increase in the number of geriatric people with osteoporotic bones and falls associated with them. In 1949, Boyd and Griffin classified fractures in the trochanteric r...
Surgical treatment of hallux valgus using chevron technique
Background: The great toe is affected by many congenital and acquired conditions including hallux valgus. Hallux valgus was first reported in 1856. Most patients with hallux valgus are young females. High heel shoes are...
A prospective study of functional outcome in intra articular distal humerus fracture treated with dual plating
Background: In adults, distal humerus fractures are uncommon and intra-articular, oftenly involve both the medial and lateral columns. Open reduction and surgical fixation with plating gives good results. The aim of this...
Surgical management of patients with tibial plateau fracture using minimally invasive technique with locking compression plate retrospective study
Introduction: The following study was conducted to identify the short term clinical and radiological results particularly early complications and healing rate of tibial plateau fracture treated with LCP using MIPPO. Mate...