Asian Journal of Orthopaedic Research

Functional Outcome of Clavicular Shaft Fractures Fixation by Clavicular Locking Plate in Adults

Nripen Kumar Kundu *

Department of Orthopaedics, Popular Medical College Hospital, Dhanmondi, Bangladesh.

Anwar Ahmed Miajee

Department of Orthopaedics, Popular Medical College Hospital, Dhanmondi, Bangladesh.

S. Ripon Kumar Ghosh

Department of Orthopaedics and Traumatology, Ad-din Women's Medical College Hospital, Dhaka, Bangladesh.

Sathi Dastider

Department of Population Dynamics, NIPSOM, Mohakhali, Dhaka, Bangladesh.

*Author to whom correspondence should be addressed.

---

Abstract

Background and Aim: The clavicular fracture is one of the most frequent bone fractures in people. It is typically treated non-surgically. The goal of the current study was to assess the features of surgical treatment of recently displaced clavicular fractures using compression locking plates and screws.

Methods: This prospective study was conducted at the Department of Orthopedic Surgery, Popular Medical College and Hospital, Dhaka during November 2020 to June 2022. The study included a total of 20 patients with midline fractures of the clavicle; 14 of them were men and 06 were women, with an average age of 33.35 years. Then, plate fixation was used to treat every case. Following surgery, patients were followed up at 1.5, 3, and 6 months. Clinical and radiological evaluations were performed during the observation period.

Results: Of the 20 clavicle fracture patients, who had plate fixation, 15 patients (75%) showed excellent outcomes whereas 5 patients (25%) had good functional outcomes. The typical radiological union took 10.21 weeks to complete.

Conclusion: In terms of pain alleviation, daily activities, and range of motion, plate fixation of clavicle fractures produces better functional results.

Keywords: Functional outcome, clavicular shaft fractures, fixation, clavicular compression locking plate

---

---

---

References

Toogood P, Horst P, Samagh S, Feeley BT. Clavicle fractures: A review of the literature and update on treatment. Phys Sportsmed. 2011;39(3):142-50

Boehme D, Curtis RJ Jr, DeHaan JT. Nonunion of fractures of the mid-shaft of the clavicle: treatment with a modified Haigie intramedullary pin and autogenous bone- grafting. J Bone Joint Surg Am. 1991;73(8):1219-26.

Robinson CM, Court-Brown CM, McQueen MM, Wakefield AE. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am. 2004;86(7):1359-65.

Mosley HF. The Clavicle: its anatomy and function. Clin Orthop. 1968;58:17-27.

Yian EH, Ramappa AJ, Arneberg O. The Constant Shoulder Score. J Shoulder Elbow Surg. 2005;14:128-33.

Ebrahim J, Variyathodi AA, Mohamed Shakeeb Kannan Thody Uppil Thody, Chandrasekharan N. Functional outcome of displaced mid shaft clavicular fractures treated by plate fixation: A prospective observational study. International Journal of Research in Orthopaedics. 2021:7(5):996-1000.

Böstman O, Manninen M, Pihlajamäki H. et al. Complications of plate fixation in fresh displaced midclavicular fractures. J Trauma. 1997;43(5):778-83.

Lazarus MD. Fracture of clavicle. In: Journal of shoulder and elbow surgery. 15(2):191-4

Cho CH, Song KS, Min BW, Bae KM, Lee KJ. reconstruction plate versus reconstruction locking compression plate for clavicle fractures. Clinics in Orthopedic Surg. 2010;2:154-9

Nayak AJ, Khandelwal M. Management of midshaft clavicular fracture with help of locking plates: A prospective study. Surgical Update: Int J Surg Orthopedics. 2019;5(2):74- 79.

DOI: 10.17511/ ijoso. 2019.i2.02

Good DW, Lui DF, Leonard M, Morris S, McElwain JP. Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): A functional outcome study. Journal of shoulder and elbow surgery. 2012;21(8):1045-8.

Verborgt O, Pittoors K, Van Glabbeek F, Declercq G, Nuyts R, Somville J. Plate fixation of middle-third fractures of the clavicle in the semi-professional athlete. Acta Orthop Belg. 2005;71(1):17-21.