Keywords : Bony union
Clinical study of surgery with locking compression plate in clavicular fractures in adults
European Journal of Molecular & Clinical Medicine,
2022, Volume 9, Issue 4, Pages 3665-3670
Background: Treatment options for clavicle midshaft fractures include intramedullary K-wires, Steinmann pins, and plate fixation. In severe displaced or comminuted fractures, plate fixation can help achieve good anatomical reduction. Present study was undertaken to assess the functional outcome following the repair of displaced clavicular fractures with locking compression plates.
Material and Methods: Present study was single-center, prospective, observational study, conducted in patients within the age group of 16-60 years, with middle third clavicle fracture, displaced shaft of clavicular fractures (Displacement >2cm), with shortening >2cm, bone loss > 2mm, underwent open reduction and internal fixation with locking compression plating.
Results: The present study consists of 20 patients of type-2 middle third fracture type-2 B1 (displaced with simple or single butterfly fragment) occurred in 17 patients (85%) and type-2 B2 (displaced with comminuted or segmental) fracture occurred in 3 patients (15%). In this study, In 11 patients (60%) 7 hole locking compression plates were used. In 4 patients (20%) 8-hole compression plates were used and in another 4 patients (20%) 9 hole locking compression plates were used. In middle third clavicle fracture 18 patients (90%) united at the end of 12 weeks. In 2 patients (10%) delayed union occurred. In this study 3 patients (15%) had hypertrophic skin scar and in 2 patients (15%) had plate prominence and in another 2 patients (10%) delayed union occurred. In 1 patient (5%) plate loosening occurred which went for malunion. At post-operative 6 months, 16 patients (80%) had excellent functional outcome and good functional outcome in 4 patients (20%).
Conclusion: Operative procedures using LCP, which can be shaped to match the contour of the clavicle, can be effective in the treatment of clavicle midshaft fractures.