Plating: A Rational Option for Mid Shaft Clavicle Fractures

Abstract

Fractures of clavicle is one of the most common injuries of human skeleton. It has been traditionally treated non-operatively but the recent trend is shifting towards internal fixation because of the high complication rates and poor functional outcome with cosmetic deformity. The present study is undertaken to study the role of surgical management and assess its functional outcome in fresh displaced mid shaft clavicle fractures from August 2013 to July 2015. A total of 40 patients with displaced mid shaft clavicle fractures were included in the study. Patients were between the age group of 19 to 55 years with 30 male and 10 females. Fractures were classified according to Robinson's classification. Functional Outcome was evaluated according to the 100-point scoring system of CONSTANT AND MURLEY. Excellent results were noted in 75%, good for 20%, fair for 5%. We encourage plating as a one of the method of fixation of clavicle fractures, because stable fixation in middle third clavicle fractures performed carefully is safe and effective treatment method to gives immediate pain relief and restore normal shoulder function with minimal complication.