Vol. 5, Issue 2 (2019)
Assessment of patients suffering from clavicle fracture managed by anatomical locking compression plate
Author(s): Dr. Rishabh Kumar, Dr. SK Sinha
Abstract: Operative treatment consists of open reduction and internal fixation with plates and screws or intramedullary nail. Plating techniques continue to evolve. Newer precontoured anatomical locking plates allow more accurate fitting while maintaining strength; compared to earlier locking compression plates and reconstruction plates. Currently, most commonly used technique is superior placement of plate but when the fracture configuration allows we prefer anteroinferior plate placement because of the safe screw trajectory and less hardware irritation. Hence, this study was taken up to assess the various aspects of clavicle fractures treated with open reduction internal fixation with pre contoured locking compression plates. The study was planned in the Department of the Orthopaedics in Nalanda Medical College and Hospital, Patna from Feb 2018 to July 2018. Total 10 patients admitted for the reason of the displaced clavicular fractures were enrolled in the present study. The data generated from the present study concludes that displaced mid-shaft clavicle fractures treated with precontoured locking compression plates gave good functional outcome and patient satisfaction. They also had low complication rates and excellent reunion rates, retaining the normal “S” shape of the clavicle. The surgical procedure was also easy and less time consuming, with very less intraoperative bleeding.