Prospective Analysis of Surgical Treatment For Displaced Midshaft Clavicle Fractures in Adults
Keywords:DASH Score, Mid shaft clavicle fracture, Plate fixation, Union
Background: The traditional view that the vast majority of midshaft clavicular fractures heal with good functional outcomes following non-operative treatment may be no longer valid for all midshaft clavicular fractures. And it is becoming increasingly apparent that clavicular malunion is a distinct clinical entity with radiographic, orthopedic, neurologic, and cosmetic features. Recent studies have shown a high prevalence of symptomatic malunion and nonunion after nonoperative treatment of displaced midshaft clavicular fractures.
Objective: To analyze the demography of midshaft clavicular fracture and to observe union time, DASH score, and complication of surgical treatment. Materials and Methods: This prospective observational study of 34 cases with midshaft clavicle fracture was conducted in Nepalgunj medical college, Kohalpur in a time span of one year. Patients were treated operatively with plating and followed up at 6 weeks, 12 weeks, 18 weeks, 6 and 12 month.
Results: Thirty four patients (Male: 29 Female: 5) with average age 32.95 years (range: 19 to 59 years) were operated for clavicular fracture with male predominance (85.30%). The mean time for fracture healing was 16.24 weeks and mean DASH score was 13.58.
Conclusions: Displaced midshaft clavicular fracture can be effectively managed with plating and have improved functional outcome and shorter time for union.
JNGMC Vol. 13 No. 2 December 2015, Page: 17-20
How to Cite
JNGMC is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
- Attribution - You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any resonable manner, but not in any way that suggests the licensor endorses you or your use.
- Non Commercial- The materials cannot be used for commercial purposes.
- No Derivatives- If the material is remixed or transformed or built upon, the modified material cannot be distributed.