ASSESSMENT OF FUNCTIONAL OUTCOMES AFTER PLATE FIXATION OF CLAVICLE MIDSHAFT FRACTURE
DOI:
https://doi.org/10.48047/HM.10.2.2024.1849-1855Keywords:
Clavicle midshaft fracture, Plate fixation, Functional outcomes, Clavicle fracture treatment, Orthopedic surgery outcomesAbstract
Background: Our study aims to investigate the union and functional outcome of plating-treated displaced clavicle fractures as well as the complications related to clavicle fractures and surgical therapy.
Methods:
From January 2024 to july 2024, we assessed 20 patients who had midshaft clavicular ftacture plating both prospectively and retrospectively. The information on potential instances has been gathered. Oxford shoulder score and radiological score were used to examine the data that was thus gathered.
Results: All fractures were fixed, and 15 patients (75%) had outstanding functional outcomes, 3 patients (15%) had good functional outcomes, and 1 patients (10%) had fair functional outcomes.
Four of the 20 patients had plate prominence, one had a hypertrophied skin scar, one had plate loosening, one had delayed union, and one had a deep infection that was later exposed to the plate. Every patient was largely happy with the care they received.
Conclusion: we discovered that this method results in satisfactory fracture union by providing a firm stability of the fracture. Additionally, it helps to avoid shoulder stiffness by promoting early shoulder mobilization. Even in cases of extreme comminution, fracture approximation is possible due to open reduction. For fresh mid-shaft clavicle fractures, primary open reduction and internal fixation with plate and screws offer a more firm fixation and eliminate the need for prolonged immobilization. Their results appear to be superior than those provided by traditional conservative.
According to this study, early primary plate fixation of mid-shaft clavicular fractures leads to better outcomes for patients and surgeons, an earlier return to function, and lower incidence of malunion and nonunion.
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Copyright (c) 2024 Dr Naeem Hussain, Dr Muhammad Hassan Saleem, Dr Hussain Ahmed, Dr. Muhmmad Ahsan Ishfaq, Muhammad Musab Shah, Dr jahangir Ahmad, Dr Muhammad Musaddiq Virk, Nabeel Yazdani (Author)
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