Abstract
Introduction: Fractures of Clavicle are high velocity injuries. Although many methods of treatment have been developed still controversy exists regarding the best treatment of unstable fractures. Aim of the study: Recent studies of nonoperatively treated unstable clavicular fractures have shown a high incidence of non union and unsatisfactory functional outcome. Some studies have shown superior functional results and higher rates of healing following operative treatment. The goal of management of unstable fractures is stable fixation which lets early mobilization of the patient. The advantages and disadvantages of the intramedullary nailing and reconstruction plate have been established well in several studies in the past. In this context we used the pre contoured anatomical locking plate for the management of unstable clavicle fractures and evaluated the outcome of the fixation with anatomical locking plate. Materials and Methods: Study between JUNE 2018 and OCTOBER 2019 in Department of Orthopaedics Rajah Muthiah Medical College, Annamalai University. 25 patients with closed unstable clavicular fractures were treated by Open reduction and internal fixation with anatomical locking plate. Results had been assessed by means of Constant Murley shoulder outcome score. Results: The study period was three hundred and sixty five days. All clavicle fractures except one healed well with good functional outcome. The mean time for union was 12.76 weeks. One non union due to deep infection was encountered for a diabetic patient and was managed with implant removal, wound wash and antibiotics. 2 patients had screw pullout due to very early return to work before union. No implant failure and no other complications encountered in other cases.Conclusion: In our study Anatomical locking plates for unstable clavicular fractures gives excellent outcome with a high rate of union, minor soft tissue injury, early return to the day to day activities.
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