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Acta Scientific Orthopaedics (ISSN: 2581-8635)

Research Article Volume 8 Issue 7

Prospective Study of Functional Outcome of Displaced Middle Third Clavicular Fractures Treated by Plate Osteosynthesis

MManoj Kumar S1, Kanugula Saibharath2 and Teki Yaswant Sai Sri Prithvi Raj3

1Assistant professor, Anil Neerukonda Institute of Technology and Sciences Visakhapatnam A.P, India
2Senior resident, GEMS, Srikakulam, Visakhapatnam, A.P, India
3Junior Resident, Anil Neerukonda Institute of Technology and Sciences Visakhapatnam A.P, India

*Corresponding Author: Kanugula Saibharath, Senior Resident, GVPIHCMT, Visakhapatnam A.P, India.

Received: June 17, 2025; Published: June 29, 2025

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Abstract

Introduction: Clavicle fractures are common injuries seen among adults (2- 5%).1 Fracture of the middle 1/3rdof clavicle constitutes for 70-80% of fractures, lateral end fracture contributes to 15-30% and medial end fractures contribute to 3% of fractures which are least common.

Open reduction and internal fixation (ORIF) with plating provide early functional recovery with less incidence of non-union and malunion. Non-surgical management is not considered optimum for managing clavicle fractures.

Aim of the study: To know the functional outcomes of surgical management of middle third displaced clavicle fracture by ORIF with locking compression plate.

Materials and methods: The current study was conducted in the Department of Orthopaedics, NRI Institute of Medical Sciences, Visakhapatnam, Andhra Pradesh, India.

Study period: 16 months from August 2022 - November 2023

Type of study: prospective Interventional study

The study was interventional, as surgery was done to patients - that is treatment of middle 1/3rd of clavicular fractures using plate method

Conclusion: This interventional study concluded that use of locking plates for displaced midshaft clavicle fractures results in union with very good functional outcome and is associated with low complication rates.

Keywords: Clavicle Mid-Shaft Fracture; Precontoured Locking Plates; Plate Osteosynthesis

References

  1. Craig EV., et al. “Fractures of the clavicle”. In Rockwood CA, Matsen FA, Wirth MA, Lippitt SB, editors, The shoulder. 3rd Philadelphia: Saunders (2004): 455-519.
  2. Jupiter JB and Leffert RD. “Non-union of the clavicle associated complications and surgical management”. Journal of Bone and Joint Surgery 69 (1987): 753-760.
  3. Hill J. “Closed treatment of displaced middle third fractures of the clavicle gives poor results”. Journal of Bone and Joint Surgery 79 (1997): 537-540.
  4. Chen CH., et al. “Semi tubular plates for acutely displaced midclavicular fractures: a retrospective study of 111 patients followed for 2.5 to 6 years”. Journal of Orthopaedic Trauma 22 (20084): 463-466.
  5. Lazarus MD. “Fractures of the Clavicle. In: Bucholz RW and Heckman JD, editors, Rockwood and Green’s fractures in adults, 5th edition, Philadelphia: Lippincott Williams and Wilkins (2001): 1041-1078.
  6. Robinson CM. “Fractures of the clavicle in the adult Epidemiology and classification”. Journal of Bone and Joint Surgery 80 (1998): 476-484.
  7. Canadian Orthopaedic Trauma Society Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: a multicenter, randomized clinical trial”. Journal of Bone and Joint Surgery American Volume 89 (2007): 1-10.
  8. Nowak J., et al. “Can we predict long-term sequelae after fractures of the clavicle based on initial findings? A prospective study with nine to ten years of follow-up”. Journal of Shoulder and Elbow Surgery 5 (2004): 479-486.
  9. Hill JM., et al. “Closed treatment of displaced middle-third fractures of the clavicle gives poor results”. Journal of Bone and Joint Surgery British Volume 4 (1997): 537-539.

Citation

Citation: Kanugula Saibharath., et al. “Prospective Study of Functional Outcome of Displaced Middle Third Clavicular Fractures Treated by Plate Osteosynthesis".Acta Scientific Orthopaedics 8.7 (2025): 13-17.

Copyright

Copyright: © 2025 Kanugula Saibharath., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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