Clinico-Radiological and Functional Outcome of Precontoured Lateral Clavicle Locking Compression Plate with Broad Lateral End in Lateral End Clavicular Fractures by Ashwin Gobbur* in Orthopedic Research Online Journal_ Orthopedic Research journal
Abstract
Background: Lateral end clavicle fractures
account for 12 to 15% of clavicle fractures [1]. With various recommendations
for treating fracture of lateral end of the clavicle, unfortunately there is no
reference standard treatment recommendation for this fracture. The unstable
nature of these fractures makes them more prone for non-union and impeding the
normal shoulder function. Recently, precontoured clavicular locking compression
plate with broad lateral end has been introduced that enables stable angular
fixation of distal fragment regardless of bone quality, reduces the risk of
above foresaid complications.
Objectives: To evaluate the clinico-radiological and
functional outcomes of lateral end clavicular fractures using precontoured
lateral clavicle locking compression plate with broad lateral end.
Materials and methods: After screening of
patients, a total of 79 cases, who were enrolled in the study, were subjected
for surgical management of lateral end clavicular fractures with precontoured
lateral clavicle locking plate. All the patients were followed up clinically
and radiologically at the immediate post op period and at the end of 1, 3, 6,
12 and 18 months. The efficacy and functional outcome of precontoured lateral
clavicle locking plate were charted according to DASH scores. All cases were
followed up for complications and were treated accordingly.
Results: In our study, 79 cases underwent surgical management
with precontoured lateral clavicle locking plate. The results were analysed
according to DASH scores showed excellent in 43 cases (54.43%), good in 32
cases (40.50%) and poor in 4 cases (5.06%). The correlation analysis with
Pearson’s correlation coefficient (r) was 0.712 which show highly positive
correlation between union of lateral end clavicular fracture and precontoured
lateral clavicle locking plate.
Conclusion: We recommend the usage of precontoured clavicular locking
compression plate with broad lateral end enables stable angular fixation of
distal fragment regardless of bone quality and reduces the risk of
complications.
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