Surgical Management of Clavicle Fracture in Tertiary Care Centre: A Clinical Study
Journal Title: Journal of Orthopaedic Education - Year 2018, Vol 4, Issue 2
Abstract
Introduction: Clavicle fracture is one of the commonest traumatic injuries around shoulder girdle due to its subcutaneous position.Despite the poor outcome like mal-union and non-union in severely displaced clavicle fracture cases traditionally non-operative management has been in practice. However, surgery can lead to accurate reduction, rigid fixation and quick pain relief with very few complications. Material and Methods: This was a prospective study which was carried out in the departments of orthopaedics in Rajshree Medical Research Institute, Bareilly from June 2017 to May 2018. Study population included fifty patients (50) of either sex above 18 years suffering from clavicle fracture. Results: Results of the current study showed that 80% cases of among clavicle fracture belonged to middle 3rd while 20% of cases belonged to lateral 3rd of clavicle.Plates and cortical screws were used to manage all the fracture of middle 3rd of clavicle. Further, majority of patients received locking compression plate (48%), followed by reconstruction plate (16%) and dynamic compression plate (16%). Twenty eight patients (56%) with middle third clavicle fracture treated with plate and screws while six patients (12%) with lateral 3rd clavicle patientshad excellent functional outcome. Conclusion: Clavicle fractures can be treated conservatively. However, theremay be specific indications which indicate necessity of surgical procedure like displaced lateral third clavicle fracture, displaced middle third clavicle fracture and comminuted. Longer period of immobilization untill union is required for the internal fixation methods as intramedullary fixation do not control rotation.A lesser period of immobilization is required for primary open reduction and internal fixation with plate and screws of fresh middle third clavicle fractures as it provides a more rigid fixation.
Authors and Affiliations
Atul Kumar Pandey
Keywords
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- EP ID EP564465
- DOI 10.21088/joe.2454.7956.4218.1
- Views 80
- Downloads 0
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