Abstract: Aims 1. To identify the current pattern of clavicle fractures (presenting to this institute) requiring internal fixation with clavicle plating.
2. To determine the outcome of fixation of clavicle fractures using clavicle plating.
3. To study complications following fracture surgery and to assess possible risk factors for complications
Objectives
1. To study patient characteristics, mechanism of injury and fracture morphology of fractures requiring internal fixation using clavicle plating.
2. To analyze outcome factors like functional score, surgical complications, radiological parameters, union status and union time of clavicle fractures.
3. To establish possible patient, fracture and implant characteristics that could contribute to the outcome.
This study is an attempt to evaluate 20 cases of clavicle plating in case of clavicle fracture and to assess the functional outcomes of clavicle plating. To ascertain whether modifiable characteristics like timing of surgery, implant positioning etc. contribute significantly to the outcome of distal radius fractures treated using clavicle plating. In our study out of 20 patients, 18 male and 02 female patients enrolled in study with mean age of 34 years (range 19-58). All patients had union at the final follow up at 4 months. Our study has a male preponderance with 90.00%. In our study dominant side (left) is involved 55.00%.in our study based on AO classification we had 0(00.00%) of type A fracture, 17(85.00%) of type B and 3(15.00%) of type C fractures. At final follow up 3 patients had excellent results and 12 patients had good results and 1 patient has poor results No patients had difficulty in abduction up to 100 degree. 1 patient had plate exposed as an complication. In our study average duration of fracture union was 7.3 weeks. Clavicle plating remains the standard treatment in clavicle fractures. Clavicle plating does not significantly increase operative time. Clavicle plating has a significantly low hospital stay. Functional range of motion are achieved for the patients even to continue activities involving labor work. Complications of clavicle plating are minimal and are comparable to any other Orthopaedic surgical procedure. Proper reduction of fracture and surgical exposure is required for better outcomes of such fixations. Use of clavicle plates in clavicle fractures provides good to excellent results with correction and maintenance of clavicle anatomy.
