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Volume 13 Issue 9 (September) 2024

Original Articles

Surgical management of lateral third of clavicle fracture: A prospective study
Virendra K Bhasme, Adiveppa A Hosangadi, Vinod K Makannavar, Gangadhar S

Background: Lateral clavicle fractures are a common injury among young athletes. This study aims to evaluate the effectiveness of open reduction and internal fixation (ORIF) in treating these fractures, using either lateral anatomical locking plates or hook plates. The study was essentially a prospective study aimed at studying the role of fixation using these plates and not a comparison between the plates Materials and Methods: Over a 24-month period, a prospective clinical study was conducted on 25 patients diagnosed with lateral clavicle fractures. These patients were treated under the Orthopaedics Department at Karnataka Medical College and Research Centre, Hubballi. Each patient received either a lateral anatomical locking plate or a hook plate for fracture stabilization. The functional outcomes were assessed using the Constant Shoulder Score. Results: The study found that most participants were men, with road traffic accidents being the leading cause of injury. The average age of the patients was 34.24 years. Approximately 10% of the patients had additional injuries. Over 35% experienced delayed complications, primarily presenting as shoulder pain. The average time for fracture healing was 13.36 weeks. The Constant Murley Score had an average value of 86.00, with a standard deviation of ±4.24. A significant correlation was observed between the score and the time taken for fracture healing. Conclusion: Young male adults were predominantly affected by fractures, with road traffic accidents being the primary cause. The majority of patients achieved good to excellent outcomes, with faster fracture healing following open reduction and internal fixation using plates. Complications were minimal and easily managed.

 
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