Management of lateral end clavicle fractures using clavicle hook plate vs lateral clavicle locking plate: A comparative study
Journal Title: Medpulse International Journal of Orthopedics - Year 2019, Vol 9, Issue 2
Abstract
Background: The study was conducted to compare the functional outcome of clavicular hook plate and lateral clavicle locking plate for displaced lateral end clavicle fractures using Constant Murley score. Materials and methods: This study include total of 30 cases with displaced lateral end clavicle fractures satisfying the inclusion criteria treated with lateral clavicle locking plate (15cases) and clavicle hook plate (15 cases). Patients were followed up at 1st month, 2nd month and 6th month, the functional outcome was assessed using Constant Murley score and the radiological outcome was also assessed. Results: In our study, 15 cases treated with clavicle hook plate had better results than 15 cases treated by lateral clavicle locking plate in terms of fracture union, Constant Murley score, range of movements. At the final follow-up of 6 months, excellent outcome was seen in 26.7% of patients treated with hook plate as compared to 6.7% of patients treated with lateral clavicle locking plate. Conclusion: Both hook plate and locking plate have a good functional outcome for lateral end clavicle fractures. Addressing the coracoclavicular ligaments in case of lateral locking plate is of utmost importance in comminuted lateral end clavicle fractures. Hook plate is an absolute indication for comminuted lateral end clavicle fractures. Hook plate has implant-related complications, hence implant removal at earliest is advisable.
Authors and Affiliations
Sujana Theja J S, B Gurumurthy, Pavankumar Patted
Keywords
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- EP ID EP539151
- DOI 10.26611/1020927
- Views 44
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