European Journal of Molecular & Clinical Medicine

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

Title: Evaluation of distal femoral fractures with locking compression plate using minimally invasive plate Osteosynthesis (MIPO) technique.Aim: To prospective and retrospective analysis of clinical and radiological outcome of distal femur fractures treated with locking compression plate by minimally invasive plate osteosynthesis (MIPO) technique.

Introduction:Tibial plateau fractures have always been difficult to treat because of thesubcutaneous location of its anteromedial surface. These days significant attention hasbeen paid to the condition of soft tissue envelope. Study aims and objectives were to evaluate functional outcome of tibial plateau fracture treated by Locking compression plate in regards to Knee range of movements and complications.

Background:The recent development of LCP has revolutionized the surgical treatment
of fractures by overcoming the few drawbacks of older internal fixators. The fractures
of the shaft of humerus are one of the commonest fractures found and the accepted
management for fractures shaft of humerus is open reduction and internal fixation
using compression plating. Our present study is aimed at the assessment of results of
plate osteosynthesis of diaphyseal fractures of humerus using locking compression plate
and to assess the functional recovery with this procedure.
Materials and Methods: It is a prospective study which was carried out from December
2019 to June 2021 atDistrict Hospital, Eluru. In this study period 20 cases of fracture
shaft of the humerus were treated by open reduction and internal fixation using
Locking Compression Plate.
Results: In our series, majority of the patients were males, middle aged, with road
traffic accidents being the commonest mode of injury, involving middle third. 90% of
the fractures united with excellent, 5% good and 5% poor results.
Conclusion: The LCP for humeral shaft fractures produce excellent results, the
advantage being better stability, early mobilization, early union but the complication,
duration of surgery and surgical techniques remains unchanged.