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Functional Outcome of Surgically Treated Displaced Middle Third Clavicle Shaft Fracture

Raghavendra Raju, Assistant Professor, Department of Orthopedic, P.E.S. Institute of Medical Sciences and Research, Kuppam, Andhra Pradesh 517425, India , Soraganvi Prasad1 , Raju Raghavendra R.P.2 , Wooly Sameer3 , Mohmad Irfan Nagnur

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Journal of Orthopedic Education 4(3):p 121-125, Sep-Dec 2018. | DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.4318.3

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Abstract

  Introduction: About 70% of clavicle fractures are in middle third shaft. Traditionally these fractures are treated non-operatively. By closed method it is practically impossible to maintain anatomical reduction and hence certain amount of deformity and disability is expected in adults. We studied functional outcome of displaced middle third clavicle fracture. Methodology: Patients with displaced middle third clavicle fracture were included in study (Robinson’s classificationtype 2B). All patients underwent open reduction and fixation with plate and screws. Patients evaluated for Radiological union and functional outcome (Constant and Murley score). Results: 30 patients included in study (23 male and 7 female). In 26 patients fracture was united by three weeks. Four patients had delayed union. 23 patients (76.7%) had excellent functional outcome. 

Conclusion: Operative fixation of a displaced and comminuted fracture of the clavicle results in excellent functional outcome and a lower rate of malunion and nonunion with decreased immobilization time.

Keywords: Clavicle; Fracture; Plate Fixation; Non Union

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DOI: DOI: http://dx.doi.org/10.21088/joe.2454.7956.4318.3

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