Abstract: Background and objectives:
Clavicle fractures are common and seen across all age groups. The traditional conservative treatment has shown higher incidences of fracture malunion, nonunion, and patient dissatisfaction. Clavicle fracture accounts for 2.6% to 4% of adult fractures and 35% of injuries of shoulder girdle. The annual incidence of midclavicular fracture is 64 per 100 000 population. Breaks of the shaft form 70% to 80% of all clavicular fractures; lateral fractures contribute to 15% to 30% of the total and medial fractures accounts for 3% and are relatively rare. There are various methods for treating clavicular fractures such as K-wire or knowles pins, steinman pin, plating and conservative methods.
We have taken up this study to understand the results and problems associated with clavicular fractures and to evaluate the functional outcome after fixation of clavicular fracture with LCP.
Materials and Methods: A prospective study was done at Sri Siddhartha Medical College, Hospital & Research Center during the period from September 2014 and September 2016. In this study 30 patients with the clavicle mid shaft fracture were chosen between 18 and 60 years by purposive sampling technique and were treated with LCP. The clinical and radiological results were evaluated according to constant and Murley scoring and plain radiographs. Union was evaluated clinically and radiographically. Complications were recorded.
Results: We had the highest number of patients in the age group of 21-30 years. 16 patients (53.3%) achieved radiological union in 12 weeks. Plate prominence (10%) and restriction of shoulder movements (10%) were the commonest complications encountered. 77% of the study subjects showed excellent outcome.
Conclusions: This study showed radiologically and clinically satisfactory results. Overall operative treatment with LCP for clavicular shaft fractures can be used to obtain stable fixation and excellent outcome.