Functional outcome of plating for displaced middle third clavicle fractures in adults

  • Jyoti Sitaula Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Ananda Prasad Regmi Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Akesh Prajapati Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Suresh Bahadur Thapa Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Bishnu Dev Sharma Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Sujit Raj Shrestha Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Pujan Pant Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
  • Sanjeeb Rijal Chitwan Medical College, Bharatpur-10, Chitwan, Nepal
Keywords: Clavicle, Displaced, Middle third, Plate

Abstract

Introduction: Clavicle fractures are the common fractures around the shoulder. Conservative treatment is as­sociated with higher incidence of nonunion. We conducted this study to assess the functional outcome of plat­ing for displaced middle third clavicle fractures.

Methods: This prospective study included 60 patients with displaced middle third clavicle fractures from April 2016 to March 2017. Fixation was done with a 3.5 mm reconstruction plate placed at the superior surface of the clavicle. Patients were followed-up for a minimum of one year. Functional outcome was assessed using Constant shoulder score.

Results: There were 48 male and 12 female patients with a mean age of 33.17 years (range 18-74 years). The average follow-up period was 17.82 months. All fractures united at an average of 5.35 months. The mean Constant score at final follow-up was 89.12. There were two superficial infections and three implant failures.

Conclusion: We conclude that treat­ment of displaced middle third clavicle fracture with plate gives good results.

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Author Biographies

Jyoti Sitaula, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Ananda Prasad Regmi, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Akesh Prajapati, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Suresh Bahadur Thapa, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Bishnu Dev Sharma, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Sujit Raj Shrestha, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Pujan Pant, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Sanjeeb Rijal, Chitwan Medical College, Bharatpur-10, Chitwan, Nepal

Department of Orthopedics

Published
2018-09-30
How to Cite
Sitaula, J., Regmi, A., Prajapati, A., Thapa, S., Sharma, B., Shrestha, S., Pant, P., & Rijal, S. (2018). Functional outcome of plating for displaced middle third clavicle fractures in adults. Journal of Chitwan Medical College, 8(3), 57-63. https://doi.org/10.3126/jcmc.v8i3.23753
Section
Original Research Articles