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Study of Functional Outcome of Displaced Fractures of Middle Third of Clavicle Managed By Operative Treatment

Ramesh C.G., Senior Resident, Department of Orthopedics, ESIC Medical College & PGIMSR, Rajajinagar, Bengalauru, Karnataka 560010, India. , Ramesh C.G.1 , H.S. Chandrashekhar2

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Journal of Orthopedic Education 3(2):p 208-213, Jul-Dec 2017. | DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.14

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Abstract

Introduction: The present consensus that great majority of clavicular fractures heal with non operative treatment is no longer valid. The amount of pain and disability during the first three weeks of conservative treatment has been underrated and the common view that nonunion does not occur is wrong. Pressure from a displaced fragment on the retroclavicular part of the brachial plexus may cause symptoms after conservative treatment. Methodology: General information like name, age, sex, occupation and address were noted. Then a detailed history was elicited regarding mode of injury like fall on the shoulder, Road traffic accident, direct injury to shoulder and fall on outstretched hand. Enquiry was made to note site of pain and swelling over the affected clavicle. Results: In this study 17 patients (85%) had excellent functional outcome, 2 patients (10%) had good functional outcome and fair in 1 patient (5%). Conclusion: In this study precontoured locking plates were used as it is contoured to the shape of the clavicle. It is necessary to put the plate superiorly and atleast three screws to be applied medially and three screws laterally.

Keywords: Functional Outcome; Displaced Fractures of Middle Third of Clavicle; Operative Treatment. 

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DOI: http://dx.doi.org/10.21088/joe.2454.7956.3217.14

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