Fracture clavicle- Functional evaluation with internal fixation

Abstract

Introduction: Fracture of clavicle is one of the most common fractures of the shoulder girdle which was treated previously by various conservative methods like figure of 8 bandage and arm sling. However, apart from complications like malunion and non-union, prolonged immobilization led to complications like shoulder stiffness and thereby delayed return to activities. Gradually, many techniques of internal fixation like plating and intramedullary fixation of clavicle have been developed, each one having its own merits and demerits. In this scenario, this study intends to observe the patients who have sustained middle third clavicle fractures treated with plating and their outcomes.
Aim: To observe the functional outcome of fractures of middle third of clavicle, which are treated surgically by plating and complications of the plating technique
Methods and Materials: 30 patients of age from 18 years to 60 years with midshaft clavicle fractures are treated with plate osteosynthesis. They are followed serially and complications encountered are noted. Their functional outcome is calculated using Quick dash score and Constant-Murley score at regular intervals.
Results: There is an increased preponderance of fracture clavicle among male patients. Most of the patients are between 30 to 50 years of age. The average time taken for fracture union is 10.5 weeks. The average Constant-Murley score and Quick dash score were 91.1 and 5.96 respectively. There are a few complications like hardware prominence.
Conclusion: Plating technique for the treatment of midshaft clavicle fractures helps in early recovery and rehabilitation of patients. It prevents complications like shortening, stiffness of the shoulder etc.