Effectiveness of low profile pre contoured clavicular plate in mid shaft clavicular fractures in young patients.

ABSTRACT

Introduction: Risk of Nonunion, residual shoulder disability and symptomatic malunion are higher in conservative treatment of displaced midshaft clavicle fractures which are reportedly decreased by operative method but plating these fractures, however, have hardware-related problems. Low-profile anatomically precontoured plates may reduce the rates of plate prominence and hardware removal. Objective: To assess the rate of plate prominence, rate of hardware removal, rate of complications, radiological and functional outcome of a pre- counterd congruent clavicle plate in the treatment of acute, displaced, mid-shaft clavicle fractures. Materials and methods: This study presented the results of 50 patients treated with an anatomical congruent clavicle plate for acute displaced, mid-shaft fracture fractures of the clavicle from October 2011 to December 2013 admitted in Narayana General Hospital. Results: The fracture united in all cases with minimal complications and high patient satisfaction on the Disability of the Arm and Shoulder (DASH) score, American Shoulder and Elbow Surgeons score (ASES) and Pain Visual analogue score (VAS). The results compare favorably with other published studies. Conclusion: A congruent clavicle plate prove to be a better option for mid shaft clavicle fracture in terms of patient compliance, hardware complication, radiological and functional outcome.