SUPERIOR VERSUS ANTERO-INFERIOR PLATING OF CLAVICLE FRACTURES- A RETROSPECTIVE STUDY AT OUR INSTITUTION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2019, Vol 8, Issue 9
Abstract
BACKGROUND ORIF of displaced clavicle fractures by plating has proved to be reliable and reproducible with high union rates and a low rate of associated complications. Decision regarding whether to place the plate superiorly or antero-inferiorly is debatable. MATERIALS & METHODS A retrospective study of 24 patients is mentioned here. Fourteen patients (10 males and 4 females) were operated with superior plating and in rest 10 patients (9 males and 1 female), fixation was done by antero-inferior plating. RESULTS We did not find any significant difference between the two groups with regard to age, sex, involved side, or with use of tobacco (Table 1). No significant difference was found in either fracture union, in any group (p=0.41, Table 2), or outcome of plate length used (p=0.68, Table 2). Duration of surgery in the antero-inferior plating was more in comparison to the other group (p=0.68, Table 2). There were 3 cases of implant removal, and malunion in 1 case, only in the superior plating group. There were no nonunion or any case of infection in any of the groups. Similar results have been shown by both superior and antero-inferior plating of the clavicle in this study (statistical data provided in Tables 1 to 3). CONCLUSION Both methods of fixation were reliable and safe. Complication rates were a bit higher in the group with superior plate placement
Authors and Affiliations
Subhasis Ranjan Mitra, Rajiv Roy
Keywords
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- EP ID EP555158
- DOI 10.14260/jemds/2019/138
- Views 55
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