International Journal of Clinical and Diagnostic Research
ISSN (Print): 2395-3403 ISSN (Online): 2395-3403 Website: http://www.sciepub.com/journal/ijcdr Editor-in-chief: Apply for this position
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International Journal of Clinical and Diagnostic Research. 2017, 5(4), 121-126
DOI: 10.12691/ijcdr-5-4-3
Open AccessArticle

TREATMENT OF LATERAL THIRD CLAVICLE FRACTURES BY LOCKING COMPRESSION PLATE- A PROSPECTIVE STUDY

Qureshi Faisal1, Sharma Gaurav Mahesh1, , Naik Lokesh Gudda1, Badgire Krishna Sudhakar1 and Waghchoure Chaitanya1

1Department of Orthopaedics, Sir HN Reliance Foundation Hospital, Mumbai.

Pub. Date: August 19, 2017

Cite this paper:
Qureshi Faisal, Sharma Gaurav Mahesh, Naik Lokesh Gudda, Badgire Krishna Sudhakar and Waghchoure Chaitanya. TREATMENT OF LATERAL THIRD CLAVICLE FRACTURES BY LOCKING COMPRESSION PLATE- A PROSPECTIVE STUDY. International Journal of Clinical and Diagnostic Research. 2017; 5(4):121-126. doi: 10.12691/ijcdr-5-4-3

Abstract

Introduction- Treatment of distal end clavicle fractures continues to be a challenge due to is high rate of non-union and malunion. The aim of the present study was top assess the functional outcome of patients with lateral end clavicle fractures treated with locking compression plate. Material and Methods- 42 patients with fracture lateral end clavicle were treated with LCP over a period of two years between May 2014 and May 2015. The inclusion criteria were patients with displaced fractures. Compound fractures, pathological fractures and fractures involving middle third clavicle fractures were excluded from the study. Final scoring was done using the Constant and Murley Scoring system. Results- The average age of the patient were 42±15 years. Road traffic accident was the commonest mechanism of injury with 33 (78.5%) cases. As per the Robinson classification system, 27 (64.3%) cases had 3B2, 8 (19%) cases had 3B1 and 7 (16.7%) cases had 3A1 type fracture respectively. The average time for radiological union was 8.4±16 weeks in 26 (61.9%) cases, 11.6±4 weeks in 9 (21.4%) cases and 14.2±6 weeks in 7 (16.7%) cases. There were 2 (4.7%) cases of superficial infection and 1(2.3%) case of non-union found in the present study. 14 (33.4%) cases had excellent, 21 (50%) cases had good results. Conclusion- Treatment of lateral end clavicle fractures using locking compression plate provides stable internal fixation helping in early mobilization. The small and comminuted fragments need to be tackled gently with utmost care.

Keywords:
Clavicle Fractures Locking plate Comminution

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