Patient oriented outcome of surgical fixation of clavicle fractures in a rural tertiary care centre

Author(s): Dr. Harika Katta, Dr. Bhanu Rekha Y and Dr. Muppa Venkata Nishanth

Abstract: Clavicle fracture is one of the most common bony injuries. They account for 2.6% to 4% of adult fractures and 35% of injuries to the shoulder girdle. Clavicular fractures have traditionally been treated non-operatively. Surgical treatment of acute midshaft fractures was not favored due to relatively frequent and serious complications. However, the prevalence of non-union or malunion in displaced midshaft clavicular fractures after conservative treatment is higher than previously presumed. Twenty-four patients with displaced clavicle fractures were treated with locking compression plate between October 2018 to September 2020 at Kamineni Institute of Medical Sciences, Narketpally. The duration of radiological union ranged from 12-16 weeks with the majority having union at 12 weeks (66.7%). The remaining (33.4%) had union at 16 weeks. Delayed union and nonunion cases were not observed in our study. The functional outcome assessment according to Constant Murley Scoring system showed excellent functional outcome in 75% and good functional outcome in 25% of the patients.

DOI: https://doi.org/10.22271/ortho.2021.v7.i1n.2592