Online ISSN: 2515-8260

Keywords : ORIF

Clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures: Case series

Dr. Deepak MK, Dr. Anand SR, Dr. Neelanagowda VP Patil, Dr. Vishwas L, Dr. Dhanush AN

European Journal of Molecular & Clinical Medicine, 2023, Volume 10, Issue 2, Pages 1527-1534

Most clavicle fractures are treated conservatively. Treatment of medial clavicle fractures is still controversially discussed in the community of upper extremity surgeons. An increasing number of symptomatic non-unions following conservative treatment of displaced fractures led to the development of various surgical approaches. Aim of this study was to evaluate the clinical and radiological outcome following operative treatment of displaced medial end clavicle fractures.
Methods: Patients who presented with a displaced fracture of the medial clavicle between March 2021 and December 2022 were prospectively enrolled in this study. All patients were operatively treated with open reduction and internal fixation (ORIF) using an anatomically precontoured locking compression plate (LCP) originally designed for the lateral clavicle. Functional outcome was recorded using the Disability of the Arm, Shoulder, and Hand (DASH) score; Constant–Murley score; visual analog scale (VAS) score; and complications.
Results: The patients were regularly followed up after the operation, and functional parameters were assessed over time. At a mean follow-up of 28.1±2.0 months, each fracture had solid bone union. The mean shoulder forward fexion was 159.3°±7.9°, and the mean DASH score was 8.8±5.1. The mean Constant–Murley score was 88.9±7.9, with six cases assessed as excellent and one case assessed as good. The mean VAS score was 1.0±1.5, and the mean patient satisfaction score was 9.3±0.8. No complications occurred, and each patient was able to resume their preinjury daily activity and was highly satisfed with their treatment.
Conclusion: Surgical treatment of displaced medial clavicle fractures using an anatomically precontoured locking plate originally designed for the lateral clavicle led to very good to excellent clinical and functional results

Surgical management of displaced calcaneum fractures by plating

Dr. H Manjunath, Dr. Ullas Mahesh, Dr. Sharat Balemane, Dr. Anil Patil

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1558-1562

Introduction: Calcaneal fractures are comparatively rare injuries, which occur in 2% of all fractures According to the recent literature, 60% to 75% of these fractures are considered to be displaced and intraarticular, which evidences the difficulty of the treatment. This type of injury is more common in men compared to women because it commonly occurs as occupation associated.
Methodology: In this study of prospective design 40 patients with calcaneum fracture treated by ORIF with plates between JAN 2019 to DEC 2021 were reviewed at a tertiary centre. The
patients were called for a final follow up evaluation and the latest functional outcome assessed as for the AOFAS score and results were analysed.
Results: Young patients showed significantly better outcome with ORIF with plating. The timing of the surgery is the most important detriment for the outcome. The final functional outcome assessed with AOFAs score is encouraging with 77.1%.
Conclusion: Operatively treated calcaneum fractures with ORIF with plates gives a good functional outcome when surgical principle are strictly adhered to, proper patient selection, appropriate timing for surgery, strict asepsis, proper approach for rising full thickness flaps, accurate anatomic reduction and proper post-operative protocol with follow up which minimizes complications.

Outcome Analysis of Fracture Lower End Radius (AO Type B & C) Treated by Orifand Plate

Raghvendra Choubey, Gaurav Agarwal, Nitin Kiradiya,Anshul Gupta, Rajesh Kumar Jain

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 1274-1281

Background: Treatment of distal radius fractures is difficult due to comminution and
joint involvement. Plating is now the standard treatment method for distal radius
articular fractures because of higher rate of complications after conservative
management.Aim: The aim of the study was to evaluate the usefulness of volar locking
plate fixation method of distal radius fracture and to compare it with other results.
Materials and Methods: We evaluated 28 patients from volar locking plates from
December2012 to March 2017, treated for distal radius intraartiular fractures by using
a volar locking compression plate. Standard X-ray and clinical assessment after 1year
were measured and final outcome were assessed using modified Gartland and Werley
Results: At the end of 12 months, 17 cases out of 28 cases in which most of the excellent
results in AO type B fractures (excellent outcome in 13 patients out of 16 patients i.e.
81.25% cases) as compared to type C fracture where it was 33.33% cases (excellent
outcome in 4 patients out of 12patients). One case developed of superficial wound
infection which resolves with antibiotics.
Conclusion: The distal radius fixation volar locking plate restores anatomy, helps in
speedy movement of wrist and function, prevents postoperative collapse of fracture and
hence is an excellent treatment method for distal radius fractures.