Functional outcome of displaced mid shaft clavicular fractures treated by plate fixation: a prospective observational study

Authors

  • Junaid Ebrahim Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India
  • Abdul Asraf Variyathodi Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India
  • Mohamed Shakeeb Kannan Thody Uppil Thody Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India
  • Nithin Chandrasekharan Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20213381

Keywords:

Mid shaft, Clavicle fractures, Allman group, Constant Murley score

Abstract

Background: Clavicle fractures are one of the commonest injuries to the shoulder girdle. Traditionally these fractures are treated conservatively. This study was to assess the functional outcome of displaced mid shaft clavicular fractures treated with plate fixation.

Methods: This was a single center prospective observational study conducted at department of orthopaedics M.E.S medical college Perinthalmanna between the period January 2018 to December 2018 in patients with displaced mid shaft clavicle fractures treated by plate fixation. Out of 51 patients 35 patients were males and 16 were females with mean age of 37.7 years (range 19-59). All patients included in this study were included under Allman group 1. All Patients were treated with plate fixation. Post op follow done at 1 1/2 ,3 and 6 months. During follow up clinical and radiological union were checked. Final functional outcome was assessed at 6 months follow up by Constant-Murley Score.

Results: Out of 51 patients with displaced mid shaft clavicle fractures treated with plate fixation 43 patients (84.3%) showed excellent functional outcome 8 patients (15.7%) showed good functional outcome. None of the patients showed moderate or poor outcome. The radiological union was attained at 9.35 weeks. No complications in 83.4% of patients.

Conclusions: Mid shaft clavicle fractures are more common in young males sustaining high energy trauma, and those fractures treated with plate fixation has a better functional outcome in terms of pain relief, activities of daily living and range of motion.

Author Biographies

Junaid Ebrahim, Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India

ORTHOPAEDICS, JUNIOR CONSULTANT

Abdul Asraf Variyathodi, Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India

ORTHOPAEDICS, PROFESSOR

Mohamed Shakeeb Kannan Thody Uppil Thody, Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India

ORTHOPAEDICS, ASSISTANT PROFESSOR

Nithin Chandrasekharan, Department of Orthopaedics, M. E. S. Medical College, Perinthalmanna, Kerala, India

ORTHOPAEDICS, ASSISTANT PROFESSOR

References

Toogood P, Horst P, Samagh S, Feeley BT. Clavicle fractures: a review of the literature and update on treatment. Phys Sportsmed. 2011;39(3):142-50.

Robinson CM, Court-Brown CM, McQueen MM. Estimating the risk of nonunion following nonoperative treatment of a clavicle fracture. J Bone Joint Surg Am. 2004;86A(7):1359-65.

Boehme D, Curtis RJ Jr, DeHaan JT. Nonunion of fractures of the mid-shaft of the clavicle: treatment with a modified Haigie intramedullary pin and autogenous bone- grafting. J Bone Joint Surg Am. 1991;73(8):1219-26.

Robinson CM. Fractures of the clavicle in the adult. Epidemiology and classification. J Bone Joint Surg Br. 1998;80(3):476-84.

Robinson CM, Court-Brown CM, McQueen MM, Wakefield AE. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2004;86(7):1359-65.

Mosley HF. The Clavicle: its anatomy and function. Clin Orthop. 1968;58:17-27.

Yian EH, Ramappa AJ, Arneberg O. The Constant Shoulder Score. J Shoulder Elbow Surg. 2005;14:128-33.

Golish SR, Oliviero JA, Francke EI, Miller MD. A biomechanical study of plate versus intramedullary devices for midshaft clavicle fixation. J Orthop Surg Res. 2008;16:3-28.

Cho CH, Song KS, Min BW, Bae KM, Lee KJ. Reconstruction Plate Versus Reconstruction Locking Compression Plate for Clavicle Fractures. Clinics in Orthopedic Surg. 2010;2:154-9.

Lazarus MD. Fracture of clavicle. In: Journal of shoulder and elbow surgery. 15(2):191-4.

Erborgt OV. Plate fixation of middle-third fractures of the clavicle in the semi-professional athlete. Acta Orthop. Belg. 2005;71:17-21.

Robinson CM, Goudie EB, Murray IR, Jenkins PJ, Ahktar MA, Read EO et al. Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial. JBJS. 2013;95(17):1576-84.

Lokesh H, Deepak S, Ramachandra D. The study on role of surgical management of clavicle fracture in adults. Journal of Dental and Medical Sciences. 2014;13:28-31.

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Published

2021-08-25

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Original Research Articles