Functional Outcome of Comminuted Clavicle Fracture Treated With LCP: A Prospective Study
Background: Fractures of clavicle are very common injuries, which have been traditionally treated non-operatively but has shown increased rate of malunion and nonunion. Operative fixation of clavicle fracture prevents these complications. Hence to validate this we evaluated the outcome of locking compression plate in treatment of comminuted middle third clavicular fractures.
Material & Methods: 25 cases of closed comminuted middle third clavicular fracture between 18 to 60 years were treated surgically with open reduction and internal fixation with locking compression plate and were assessed radiologically for union and functionally by Constant and Muller score.
Results: All 25 patients of comminuted midshaft clavicle fracture with mean age 28.3 years united in mean duration of 13.2 weeks. As per Constant and Muller score, 18 patients (72%) had excellent functional outcome, good in 5 patients (20%), fair in 2 patients (8%) and none of the patients had poor outcome. 3 patients developed hypertrophic skin scar, 2 patients had plate prominence and in 1 patient superficial infection occurred.
Conclusion: Mid third clavicle fractures treated by locking plate achieve reliable bony union and provides a more rigid stable fixation which does not require immobilization for longer periods. It results in earlier return to functional outcome and improved patient and surgeon results, with decreased rates of nonunion and malunion.
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