Mid Clavicle fracture treated by plate osteosynthesis: our experience

Subal Debnath; Sachlang Debbarma; Santosh Reang

Volume : VI, Issue : VII, July - 2016

Mid Clavicle fracture treated by plate osteosynthesis: our experience

Subal Debnath, Sachlang Debbarma, Santosh Reang

Abstract :

Objective: To study the outcome of mid clavicle fracture treated with plate osteosynthesis. Material and methods: A prospective study was carried out in the department of orthopedics Tripura Medical college Agartala Tripura for a period of two years from January 2014 to march 2016 with thirty (30) consecutive cases of fractures of the mid clavicle, aged 15–65 yrs, irrespective of sex were subjected to plate osteosynthesis after obtaining written and informed consent. Result: Road traffic accidents (RTA) accounted for 60 % (18) fractures and fall accounted for 40 % (12) fractures. 40% of patients had consented for plate osteosynthesis for want of early mobility or for early return to work and 26 % for early relieve of pain. The mean time to sound clinical union was 8.13 ± 1.65 weeks (range, 6 –12 weeks) in all cases. Radiologically cortical idging was seen at 10th post–operative weeks. The Mean time to complete cortical idging or radiological union was 17.90 ± 2.57 weeks (range, 14–24 weeks). Based on the assessment criteria (Constant Shoulder Score) for the present study, the final outcome for all cases was Excellent in 17 (56.67%) patients. Good in 9 (30.00%) patients and Fair in 4 (13.33%) patient Conclusion: Historically, the preferred method of treatment of mid clavicle fractures has been conservative. Current recommendation for treatment of displaced mid shaft clavicle fractures is operative fixation. Current treatment is Controversial but conventional plating is often proposed as the gold standard. Hence the choice for operative intervention for a displaced mid clavicle fracture will be a decision made between the surgeon and the patient.