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Volume 3 Issue 1 (January - March, 2015)

Original Articles

Clavicle fractures management with locking plates- A clinical study
Jai Prakash Saraswat

Background: Fractures of the clavicle are common injuries of adults, accounting for about 3% of all injuries. The present study evaluated outcome of clavicle fractures managed with locking plates. Materials & Methods: 85 patients of clavicle fractures of both genders were enrolled. Open reduction and internal fixation were performed using a 3.5 mm locking plate with lateral extension. The postoperative pain was assessed withvisual analogue scale (VAS) on postoperative days 1, 3 and 10. Results: Out of 85 patients, males were 50 and females were 35. Side involved was right in 46, left in 10 and both in 29 patients. The mode of injury was RTA in 60, fall in 20 and violence in 5 cases. The difference was significant (P< 0.05). The mean VAS on day 1was 5.7, on day 3 was 3.2 and on day 10was 0. The mean DASH at 2 months was 12.1 and at 6 months was 4.7. Functional outcome was excellent in 42, good in 31 and moderate in 12 cases. The difference was significant (P< 0.05). Conclusion: Clavicle fracture is common among all age groups.Compression plating found to be effective in the management of distal end clavicle fractures.

 
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