DOI: 10.36347/sjams.2020.v08i08.019

Pages: 1888-1892

Background: A clavicle fracture, also known as a broken collarbone, is a bone fracture of the clavicle. Symptoms typically include pain at the site of the break and a decreased ability to move the affected arm. It accounts about 2.6% of all fractures in adult and 44% in shoulder region. Midshaft clavicle fractures accounts about 81% of total clavicle fractures. Aims & Objectives: The study aimed to evaluate the outcome of surgical management of displaced midshaft clavicle fracture with precontoured locking plate. Materials & Methods: A prospective study was conducted in four (4) selected hospitals like National Institute of Traumatology and Orthopaedic Rehabilitation (NITOR), Dhaka, Bangladesh, Care Medical College Hospital, College Gate, Dhaka, Bangladesh, Bangladesh Spine & Orthopedic Hospital, Dhaka, Bangladesh and Ekota - Bandhan General Hospital, Sherpur, Bangladesh during the period from June 2017 to December 2019. Thirty two (32) patients were selected as study participants from the selected hospitals. All the participants had displaced midshaft clavicle fracture and treated by ORIF with pre-contoured locking plate. The data entry was immediately after completion of data collection. Data processing and analysis was done using SPSS Version 19. Data were analyzed according to the objectives of the study. Results: Thirty two (32) cases of clavicle fracture were treated with precontoured locking plate under general anaesthesia. Among all 30 (93.75%) were male and 2 (6.25%) were female. The age range was 21 to 48 years. There were 23 left and 9 right sided clavicle fractures. In 12 patients the fractures were comminuted. The mode of injury were RTA in 17 cases, fall from height in 8 and sport injury in 7 cases. There were only 2 cases with type I open fracture. All the fracture united with good alignment and shoulder function. The functional outcome according to Constant Murley Scores (CMS) were excellent in 20 (62.50%) cases and good in 12 (37.50%) cases.........