Indian Journal of Orthopaedics Surgery


Functional outcome of fracture middle-third clavicle treated in tertiary institute


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Article Type : Research Article

Author Details: Eeshan Bhardwaj*,F Abdul Khader

Volume : 5

Issue : 1

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 10

Article End Page : 14


Abstract

Introduction: Clavicle is the bone which links thorax to the shoulder and help in movements at shoulder joints. It is the first long bone to ossify in the body. Clavicle fractures are the most common fractures in the upper limb. The purpose of this study is to measure the functional outcome of mid third displaced clavicular fractures treated by open reduction and internal fixation with plate osteosynthesis and conservative management.
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Materials and Methods: This study was done in Tertiary Institute, Ammapettai, in between May 2017 – September 2018, Ethical committee approval obtained, IHEC No: 2017/312.Patients were allocated in two groups and were given treatment as per the group. 20 cases were treated conservatively and 20 with plate osteosynthesis. Patients were followed every 3rd, 6th, 9th month.
Result: The mean union rate in our study was 10 weeks and constant shoulder score was 90 for conservative group. 20 patients in plate Osteo-synthesis the average union was 6wks and constant shoulder score was about 95 with an excellent grade.
Conclusion: Plate osteosynthesis in displaced midshaft clavicle fracture has resulted in excellent functional outcomes and also good union rate.

Keywords: Clavicle, Middle third, Displaced fracture, Conservative, Surgical, Plate osteosynthesis.

Doi No:-10.18231/j.ijos.2019.003