IJAR - Indian Journal of Applied Research

Dr.Pravin Kumar Jangde; Dr. S.C Awasthi; Dr. R.K. Gupta

Volume : VIII, Issue : VII, July - 2018

The Evaluation of result of minimally invasive treatment in the fracture of clavicle with cannulated cancellous Screw - In Vivo Study

Dr. Pravin Kumar Jangde, Dr. S. C Awasthi, Dr. R. K. Gupta

Abstract :

Objective – To evaluate the effect of minimally invasive Treatment in the fracture of clavicle with cannulatedcancellous screw.

Method –Data of 10 patients who were operated with minimally invasive treatment with cannulatedcancellous screw for the clavicle fracture from January 2017 to May 2018 were perospectively analysed & compared with those of 10 patients with clavicularfracture who had been operated plates. According to Craig”s classification there were 3 groups I and 7 of group 2–II. Neer Scores were used to evaluate shoulder function and radiographs to assess fracture union.

Result – In the cannulatedcancellous screw fixation of clavicle, the incision length was 4–5cm where as in the reconstructive plate fixation of the clavicle it was 10–11cm. Although bone union was achieved in both groups but the bone union time being 13.2±6.9weeks in cancellouscannulated screw fixation and 16.3±8.7 weeks in the reconstructive plate fixation. All the patients were followed up for 6 to 20 months (average 10.6months).The average Neer Score 96.6±3.4 and 94.2±5.8 in reconstructive plate fixation group. Screw loosening occurred in one patient treated with cannulated screw fixation. There was a significant difference in fracture healing time between two groups but not much significant difference in Neer Score.

Conclusion – The treatment of clavicle fracture with cannulated screw has the advantage of minimal invasion, short duration of bone healing, good clinical outcomes and being relatively inexpensive.