Title : Functional outcome of comminuted/displaced middle third Clavicle fractures (type 2b) treated by plate fixation
Abstract:
Introduction: Clavicle is the bony link from thorax to shoulder girdle and contributes to movements at shoulder girdle. Clavicle fracture is a common traumatic injury around shoulder girdle due to their subcutaneous position. Recent studies have showed a higher rate of nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures. The purpose of the study is to prospectively analyze the functional outcome of mid third displaced clavicular fractures treated by open reduction and internal fixation with plate osteosynthesis.
Materials and methods: Forty four cases of middle third displaced (Robinson type 2b2) clavicular fractures are treated with plate osteosynthesis. We used precontoured anatomical plate in our studies .. The primary outcome measures are functional constant and murley shoulder score. Patient was followed up at 2 , 6 weeks and 3 month time. The secondary outcome measures were incidence of associated injuries in comminuted/displaced midshaft clavicle fracture
Result: Out of 44 cases 31 were males and 13 females. Right side clavicle involved more than the left side . 95.5% of patients had excellent grades and a good grade in 4.5% of patients were observed . The mean Constant Shoulder score was 95.39 , mean Constant Shoulder score of normal shoulder in study population was 98.16 . We also noticed that Road traffic accidents were the common mode of injury among patients. Out of 44 patients in the study 29 patients had associated injuries , So majority in the group had associated injuries.
Conclusion: Open reduction and rigid internal fixation of displaced midshaft clavicular fracture has resulted in good fracture union rate and excellent functional outcome.
