European Journal of Molecular & Clinical Medicine

Background: The traditional view that the vast majority of clavicular fractures heal with good functional outcomes following non operative treatment is no longer valid. Recent studies have identified a higher rate of non-union, late neurovascular compromise and specific deficits of shoulder function in subgroups of patients with these injuries who are treated by conservative means. To study the functional outcome osteosynthesis of clavicle fractures using anatomical Locking compression plate.
Materials and Methods: Study was conducted on 20 patients with displaced/comminuted clavicle fractures. All the patients were treated by open reduction and internal fixation with 3.5mm anatomical LCP plate and screws. Functional outcome was recorded at regular intervals postoperatively at 6,12 & 24 weeks according to Constant Murley scoring system.
Results: According to Robinsons classification 2 were 1B1 type, 6were 2B1,8 were 2B2 and 4were 3B1 type. Range of motion was well maintained in all patients. The values were as of the normal contralateral shoulder, 82% of patients having >90% of the normal function (Excellent grade) at last follow up.
Conclusion: Clavicle fractures should therefore be viewed as a spectrum of injuries with diverse functional outcomes, each requiring careful assessment and individualized treatment, and plate osteosynthesis should be preferred for the treatment of indicated clavicle fractures in young active individuals.

Background: This prospective consecutive case series was done to evaluate indications, technical pearls and pitfalls and functional outcomes of elastic stable intramedullary nailing of displaced mid clavicular fractures and the effectiveness of the titanium elastic stable intramedullary nails in the surgical treatment of the mid clavicular fractures in adults.
Materials & Methods: A total of 30 patients (20 men, 10 female) were included in this study. Constant score and radiographs were evaluated after 1 and 6 weeks, 3 months and 6 months in 30 patients. Mean age was 28 years.
Results: Length of incision, operation time, blood loss and duration of hospital stay were significantly less. The average follow-up was 12 months. Mean operation time was 58 minutes. Open reduction through an additional small incision was necessary for some fractures. Mean hospital stay was 1.2 days. The Constant score averaged 78 after 1 week, 94 after 6 weeks and 96 after 6 months. Compared to the contralateral side, average shortening of the clavicle was 1.5 mm. Conclusion: Titanium elastic nailing system provided a good restoration of the length of the clavicle allowing immediate active mobilization and early return to normal activity with excellent functional results.