FUNCTIONAL OUTCOMES OF OPEN REDUCTION AND INTERNAL FIXATION OF DISPLACED CLAVICLE FRACTURES IN ADOLESCENTS

Rohan Memon, Ketan Parmar

Abstract


INTRODUCTION: Clavicle fractures are common, surgical treatment of displaced clavicle fractures is controversial.
The purpose of this study was to analyze the potential of open reduction and internal fixation for displaced mid-shaft
clavicle fractures in adolescent patients.
MATERIALS AND METHODOLOGY: We reviewed our series of surgical cases performed in 24 adolescents (mean
age: 14.6 years) with displaced unilateral clavicle fractures. Baseline data acquisition included demographic and
radiographic variables. A Locking clavicular plate was utilized for fixation in all cases.
OBSERVATIONS: Postoperative monthly visits till three months followed by regular visits every three months. Clinically
we used Constant shoulder score system for evaluation of all patients. The Grading of scores as follow: >90 Excellent 80-
90 Good 70-80 Fair, <70 poor Excellent / good indicates satisfactory results, where as fair / poor indicates unsatisfactory
results. Radiographic bony union was obtained in 22 patients, and other two patients were non-union. The mean time to
union was 10.73 weeks.
At the end of follow up, the mean constant shoulder score was 91.86, which 12 cases were > 90 Excellent score, 9 cases
was between 80-90 which Good score, one case from 70 to 80 which fair score and two cases less than 70 which poor
outcome and those patients were non-union outcomes
CONCLUSION: Anatomical reduction with internal fixation and early mobilization of adolescent displaced clavicle
fractures remains a viable treatment option with predictable results and no major complications in reliable hands.


Keywords


displaced, closed, mid-shaft clavicle fractures, adolescents, ORIF

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