European Journal of Molecular & Clinical Medicine

Introduction: Proximal humerus fractures are one of the commonest fractures occurring in the skeleton representing approximately 4% of all fractures and 26% of humerus fractures. Fractures that occur in the elderly usually result from a trivial fall on an outstretched hand or the side of the shoulder. Younger patients with these injuries are more likely due to high energy trauma following road traffic accidents and present with significant associated injuries. Aim: To evaluate the outcome of open reduction and internal fixation using locking compression plate for proximal humeral fractures.

Background: Clavicle fracture is a common traumatic injury around the shoulder
girdle due to its subcutaneous position. Recent studies have shown a higher rate of
nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures.
Aim: The purpose of the study was to prospectively analyse the functional outcome of
mid-third displaced clavicular fractures treated by open reduction and internal fixation
with plate osteosynthesis. To study the outcome of displaced middle-third clavicular
fracture streated by plate osteosynthesis.
Methods: This was a prospective comparative on-randomized study was conducted in
Government District Head Quarters Hospital Suryapet with a follow-up ranging from
August 2021 to December 2021 (6 months). Ninteen cases of middle third displaced
(Robinson type 2b1 and 2b2) clavicular fractures are treated with plate osteosynthesis.
We used a reconstruction plate, a locking compression plate, and a 1/3rd tubular plate
for study.
Results: The mean time to union was 9.5 weeks. At the latest follow-up, the entire
patients returned to the pre-injury activity level. One case had a superficial infection
which was treated with intravenous antibiotics. There is no difference between the
reconstruction group and the locking compression plate group in terms of functional
outcome and union rate. We also noticed that road traffic accident and direct injury to
the shoulder causes Robinson type 2b1 (12) fractures.
Conclusions: Open reduction and rigid internal fixation of displaced midshaft
clavicular fracture have resulted in a good fracture union rate and excellent functional
outcome.