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CLINICAL AND RADIOLOGICAL OUTCOME IN LATERAL END CLAVICLE FRACTURES FOLLOWING CLAVICLE LOCKING PLATE FIXATION

Authors: Nisar Ahmad Dar , Nissar Ahmad Shah and Abdul Rashid Badoo;

CLINICAL AND RADIOLOGICAL OUTCOME IN LATERAL END CLAVICLE FRACTURES FOLLOWING CLAVICLE LOCKING PLATE FIXATION

Abstract

Aim: The lateral end clavicle fractures comprise around 25% of all clavicle fractures. Various deforming forces acting over here render this fracture unstable. There are various treatment options of the lateral end of clavicle ranging from non-operative to operative methods like coracoclavicular screws, k wire fixation, tension band wiring, hook plates, non- locking and locking plates and coracoclavicular augmentation. In this study, we have evaluated the functional and radiological outcomes of the patients in whom a locking plate was used for fixation of the lateral end of clavicle fractures. Methods: 15 patients with lateral end clavicle fractures underwent open reduction and internal fixation using a 3.5 mm pre-contoured superior locking plate under general anaesthesia or regional block. Regular post operative X-rays were done until radiological union was achieved. The postoperative pain was assessed using Visual Analogue Scale (VAS)on postoperative day 1 and at 2 weeks. The operated limb was supported by a sling for 3 weeks with intermittent passive and active assisted range of motion exercises. The functional outcome was assessed at the end of 1 month,3 months and 6 months postoperatively with the help of QuickDASH scoring system. Results: All the fractures achieved radiological union at an average duration of 12.1 weeks (range 9.8-13.4). The mean VAS score on post-operative day 1 was found to be 5 which decreased to 1 at two weeks postoperatively. The mean postoperative QuickDASH score was 52.23+/- 1.9 at the end of 1 month,20.4+/- 1.9 at 3 months and then 1.3 +/-1.6 at the end of 6 months. There was one case of implant backout with hardware promince and one case had superficial infection which responded to short course of oral antibiotics and dressings. Conclusion: The precontoured superior clavicle locking plates may be a good method to fix the fractures of the lateral end clavicle, providing a stable fixation with good radiological and functional outcome, although larger comparative studies between the various surgical treatment methods need to be done to validate this method of treatment.

Keywords

Lateral End Clavicle Precontoured Locking Plate Quickdash

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popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
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influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
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impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
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