A Study of Clinical Outcome of Precontoured Plate & Screw Fixation in Fracture Midshaft Clavicle

ABSTRACT

Background: This prospective study was done to evaluate the effectiveness of implants i.e., anatomical precontoured plate in treatment of displaced midshaft clavicular fractures. Methods: Thirty patients between 18 and 60 years of age wereincluded in this study. They were treated by fixation with anatomically precontoured plate and functional outcome was assessed.Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of over 1.5 year of follow-up time were compared. Results: Range of motion was well maintained in all the patients. Constant score was excellent in 26 patients(87%) good in 2 patients(6.5%) and fair in 2 patients(6.5%).No patients had a poor result on constant scoring. The mean time to union was 5.8 months. Conclusion: In this prospective cohort study, primary open reduction and internal plate fixation of acute displaced midshaft clavicular fractures resulted in improved outcomes and a decreased rate of nonunion and symptomatic malunion.