Is the clavicle fractures fixed with plates and screws really improves the functional outcomes a prospective study

Abstract

Background: Clavicular fractures account for approximately 2.6% of all fractures. Fractures occur most commonly in the middle third of the bone. Displaced Mid-shaft clavicle fractures are common and are generally treated non-operatively. Non-operative treatment of these fractures with axial shortening is associated with a non union rate of 13 – 18% and a delayed union rate of 25%. Prompt fixation of these clavicle fractures permits increased patient comfort, and early shoulder mobility. Objective: To analyse the functional outcome of surgical management of clavicle fracture fixed with plates and screws in terms of union, functions and complications. Displaced Mid-shaft clavicle fractures are common and are generally treated non-operatively. Methods: A prospective study of 30 cases of midshaft clavicle fractures in adults. Managed surgically during the period from August 2015 to August 2017 satisfying the inclusion and exclusion criteria were studied. The functional outcome was evaluated using the Constant and Murley scoring system. Results: In our study we achieved 90% excellent results and 10% good results. The results were comparable to other studies. Conclusion: In this study demonstrate early pain relief with good shoulder function, quick return to activities and a high patient satisfaction rate. Therefore, we believe that open reduction and rigid internal fixation is a valuable option in the acute treatment of displaced Mid-shaft clavicle fractures in active adults with high functional demands.