Title: Analysis of Displaced Middle Third Clavicular Fractures Treated By Plate Osteosynthesis

Authors: Dr S. Kumar MS Ortho, Dr T. M. Manohar MS Ortho, Dr C. Pradobh MS Ortho,  Dr C. Kamalanathan Ms Ortho

 DOI:  https://dx.doi.org/10.18535/jmscr/v5i5.16

Abstract

Introduction: Fracture of the clavicle is common, accounting for 5 to 12% of all fractures. Displaced mid shaft clavicle fractures are common and are generally treated non-operatively. Open reduction and internal fixation with plating provides rigid fixation, early functional recovery and low rates of non union, mal union.

Materials and Methods: The study conducted was time bound, hospital based, prospective study  In this study we analyze the  functional outcome of 40 cases of displaced middle third clavicular fractures, internally fixed by plate osteosynthesis which was undertaken at the department of orthopaedics and traumatology at Government Mohan Kumaramangalam Medical College and Hospital, Salem from November 2011 to September 2013

Results: Out of 40 cases 18 cases united in 8 weeks and by 12 weeks all cases united except one. In one case there was delayed union followed by implant failure. In our study  24 patients returned to day today activities after 2-3 weeks and 30 patients returned to work within 21/2 months   

Conclusions: In our study Open reduction and rigid internal fixation of displaced midshaft clavicular fractures have given fracture union and excellent functional outcome.  

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