Prospective Analysis of Surgical Treatment For Displaced Midshaft Clavicle Fractures in Adults

  • Sandeep Gurung Department of Orthopedics Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke
  • Dipendra K.C. Department of Orthopedics Nepalgunj Medical College Teaching Hospital, Kohalpur, Banke
Keywords: DASH Score, Mid shaft clavicle fracture, Plate fixation, Union

Abstract

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 of  midshaft  clavicular  fractures  heal  with  good  functional  outcomes following non-operative treatment may be no longer valid for all midshaft clavicular fractures.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

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Abstract
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Published
2017-02-06
How to Cite
Gurung, S., & K.C., D. (2017). Prospective Analysis of Surgical Treatment For Displaced Midshaft Clavicle Fractures in Adults. Journal of Nepalgunj Medical College, 13(2), 17-20. https://doi.org/10.3126/jngmc.v13i2.16539
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Original Articles