Surgical Management of Clavicle Fracture: Functional Outcome of Open Reduction and Internal Fixation | Chapter 3 | New Visions in Medicine and Medical Science Vol. 2

 Background: Clavicle fracture is one of common bony injury; which is more common in young active individual. It accounts for approximately 5% to 10% of all fracture and up to 44% of injuries of shoulder girdle. It has been traditionally treated with non-operative method. This present study evaluates the role of the surgical management in the fresh middle third clavicle fracture.

 

Methods: 30 adult patients (21 male and 9 female) of the average age of 32 years presented with fresh middle third clavicle fracture treated surgically with open reduction and internal fixation with plate and screws and followed. This study was conducted between November 2011 to November 2012.

 

Results: In 27 patients, fracture were united at end of 12 weeks, in 2 patients, fracture were united at end of 24 weeks and 1 patient went for non-union. One patient had superficial infection. None of them had deep infection. One patient had plate loosening at 4week but fracture was united at the end of 24 weeks. 2 patients had persistent pain which is controlled with occasional analgesic but not effecting ordinary work. One patient had gross restriction of shoulder movement. Functional outcome assessed according to near shoulder scoring system. 24 patients had excellent result, 4 patients had satisfactory result, 1 patient had unsatisfactory result and 1 patient had failure. The advantage of rigid internal fixation and early mobilisation of fresh displaced clavicle fracture is that it gives immediate pain relief and prevents the development of shoulder stiffness and non-union.

 

Conclusions: The study showed rigid fixation with plate and screw for fresh middle third clavicle fracture especially displaced and comminuted give immediate pain relief and prevent the development of shoulder stiffness &non-union and give good functional outcome.

Author(s) Details:

Manju G. Pillai,
Department of Orthopaedics, Pushpagiri Institute of Medical Sciences and Research Center, Thiruvalla, Kerala, India.

Please see the link here: https://stm.bookpi.org/NVMMS-V2/article/view/13797