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SAS Journal of Surgery | Volume-8 | Issue-05
Open Reduction & Internal Fixation in Case of Clavicle Fracture & Their Outcomes
Dr. Anjan Lal Ghosh, Dr. Debdulal Debnath, Dr. SK. Ashraf Ullah
Published: May 17, 2022 | 146 86
DOI: 10.36347/sasjs.2022.v08i05.013
Pages: 394-399
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Abstract
Introduction: Clavicle fractures are common, and account for about 2.6 % of all fractures and nearly 44 % of those in the shoulder girdle. Fractures of the middle third of the clavicle are most common (81%). Surgical operation for displaced clavicle fractures is controversial. Traditionally, these fractures have been treated in non-operative ways. This traditional treatment is not without complications, such as shortening, nonunion, deformity and unsatisfactory patient outcomes. In recent days, operative treatment has proven superior results. Aim of the study: Early union & reliable treatment with predictable outcomes. Methods: This is a prospective study, a total of 15 patients were included and analyzed in this study. This study was carried out from January 2016 to June 2020 at Z. H. Sikder Women’s Medical College Hospital & Northern International Medical College and Hospital. The method of fixation of the clavicular fracture was open reduction and internal fixation with a reconstruction plate in twenty patients, a hook plate and T-plate for distal clavicle fracture. Result: In this study, a total of 15 patients were included and analyzed. Table-1 shows the clinical characteristics of the study patients, 8(53.33%) patients were from the age range 31-45, 4(26.67%) patients were from the age range 15-39 and 3(20.00%) patients were from the age range 45-60. The male patients were 12(80%) and the female patients were 3(20%). Figure-1 shows the mean constant shoulder scores of patients. The complication of studying patients was shown in Table-4, 8(53.33%) patients were from unsatisfactory appearance, 4(26.67%) patients were from adhesive capsulitis, 3(30.00%) patients were from both superficial infection and paresthesia over the surgical site and 2(13.33%) patients were from non-union. Conclusion: In conclusion, the conservative treatment remains the treatment of choice for simple clavicle fractures, but for displaced and comminuted fractures surgical intervention ....