A PROSPECTIVE STUDY OF FIXATION OF FRACTURE LATERAL END CLAVICLE BY A NOVEL TECHNIQUE & ITS EARLY RESULTS

Dr Vimal Kumar Dakour; Dr Atul Jain; Dr Rajesh Bhatia

Volume : IX, Issue : VI, June - 2019

A PROSPECTIVE STUDY OF FIXATION OF FRACTURE LATERAL END CLAVICLE BY A NOVEL TECHNIQUE & ITS EARLY RESULTS

Dr Vimal Kumar Dakour, Dr Atul Jain, Dr Rajesh Bhatia

Abstract :

Background: Fracture Lateral end clavicle can be managed by various treatment modalities, with different pros & cons. Our study is a prospective study, showing a novel technique & its early results. We found initial results to be very encouraging. Material & Methods: We had utilized this novel fixation technique on 16 patients & operative indication in all patients was Neer type 2 lateral end clavicle fractures. In this study, 14 patients were male while 2 were female in age group 25 to 58 years (mean 41 years). All the patients were operated within 2 weeks of sustaining trauma to clavicle .Early results were encouraging in these patients with minimum follow up of 4 months & maximum of 12 months. Constant murley scores measured & compared were found to be approaching at the opposite shoulder levels at the end of 6 months after surgery. Results: All 16 patients were available for evolution after minimum follow up of 4 months and maximum of 12 months. All the patients regained pain less shoulder with bony union & returned to pre–injury activity level after a mean of 4 months. During post operative follow up after 2 weeks, 2 months & 4 month post–operative radiographs demonstrated good hold of initial bony reduction Conclusion: The concept of this technique is novel and provides for a strong fixation across the fracture site in addition to other benefits outlined above. Further studies with longer follow up and more number of patients need to be done to elucidate out correct surgical utility of technique over others.