TREATMENT OF DISPLACED MID SHAFT CLAVICULAR FRACTURES WITH OPEN REDUCTION AND INTERNAL FIXATION WITH PLATE AND SCREWS
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2017, Vol 4, Issue 4
Abstract
BACKGROUND Midshaft clavicular fractures are most common fractures encountered. Treatment of choice was conservative whether comminuted or displaced. Figure-of-eight bandage was used in treating all these fractures. Many of fractures went in for nonunion and some gross malunion. In course of time, internal fixation either percutaneously using Steinman pin, K wire or TENS nail/ORIF with plate and screws for displaced fractures were used. This prospective study was conducted to evaluate the results of plating using a 3.5-mm reconstruction plate for the treatment of middle third displaced clavicle fractures. MATERIALS AND METHODS From 2013-2015, twenty five patients with middle third displaced clavicle fractures were treated with plating using 3.5 reconstruction plate. The indications for surgery included complete displacement and comminution as accordingly classified following Allman's classification. RESULTS The mean time to union was 11 weeks (range 8-14 weeks). At the time of last followup, i.e. 24 weeks, all the fractures were healed and were advised to get back to their pre-injury activity. CONCLUSION Plating is an effective and definitive treatment modality for middle third displaced clavicle fractures with few complications and early return of shoulder function. The procedure provides stable fixation, avoids risk to vital structures below the clavicle and is associated with a low rate of implant-prominence problems.
Authors and Affiliations
Prakash Channabasappa Wali, Satish Shankar Nesari
Keywords
Related Articles
- EP ID EP213169
- DOI 10.18410/jebmh/2017/38
- Views 104
- Downloads 0
A COMPARATIVE STUDY BETWEEN CONVENTIONAL AND AUTOGRAFT SURGERY FOR PTERYGIUM
Pterygium excision by bare sclera technique was first described by Ombrain. However it is associated with recurrence rate of 9 to 75%. Conjunctival autografting is safe and cost effective method in preventing recurrence....
THE EFFECTIVENESS OF NASAL ENDOSCOPIC CAUTERIZATION AS FIRST LINE MANAGEMENT FOR EPISTAXIS- A PROSPECTIVE STUDY
BACKGROUND Epistaxis is the most common emergency in otorhinolaryngology. The usual treatment in most cases of anterior epistaxis and almost all cases of posterior epistaxis is nasal packing followed by either cauterizat...
BACTERIOLOGICAL PATTERN OF CHRONIC OSTEOMYELITIS- A RETROSPECTIVE STUDY
BACKGROUND Chronic osteomyelitis is an infective inflammation of bone. This is a common problem in a developing country like India. Out of various reasons like open fractures, surgical interferences, nearby sepsis, penet...
GENETIC ASPECTS OF DENTAL CARIES - PART I
Dental caries is essentially a progressive loss by acid dissolution of the apatite (mineral) components of the enamel, then the dental or of the cementum then dentin. Dental caries is a multifactorial disease, which is t...
A PROSPECTIVE OBSERVATIONAL STUDY OF SHORT TERM MORBIDITY PATTERN IN PRETERM NEWBORNS DELIVERED IN A TERTIARY CARE HOSPITAL
To study the short term morbidity pattern in preterm new born babies delivered in a tertiary care hospital with level III neonatal intensive care unit (NICU). MATERIAL AND METHODS: A prospective observational study was c...