Abstract
BACKGROUND: Displaced lateral end clavicle fractures have high incidence of delayed union or non-union, hence several authors suggested operative management for these fracture. Many surgical techniques are available. But adequate reduction and minimal soft tissue dissection during implant placement and early removal is ideal for these fractures. METHODS: 15 patients with displaced lateral end clavicle fractures were included in our study in Rajah Muthiah Medical College & Hospital, Chidambaram. The fracture were reduced by open reduction and fixed with 2 transacromial K-wires and additional TBW with SS wire. Implant removal was done at an average of six weeks. RESULTS: All 15 fractures united. The mean average age was 27.5 years ranging from 20years to 55 years. The mean average time of union was 8.6 weeks ranging from 6 weeks to 14 weeks. All patients regained near normal range of motion and 10 patients had excellent constant murley score, 3 had good and 2 had fair results. In our study two patients had K-wire back out without loss of reduction. CONCLUSION: The clinico-radiological outcome of displaced lateral end clavicle fractures treated by transacromial K-wires with TBW is encouraging and comparable with earlier studies.
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