Abstract
Fractures of the mid-shaft of the clavicle have been treated conservatively with excellent results regarding functional outcome. Indeed some studies have indicated that open reduction and internal fixation of mid-shaft clavicle fractures by plating have superior union rates. Recent studies have indicated that early plating of the mid-shaft clavicle fractures is a stable and reliable procedure well tolerated by the patient and results in a rapid rehabilitation and better functional outcome of the shoulder. This study aims to examine the results at retrospective cases of mid-shaft clavicle fractures that underwent acute open reduction and internal fixation.
Case records and x-rays have been recorded for all the 60 patients. All patients have been informed for clinical and radiological examination. Up-to date 50% patients have attended. This gives us a mean follow-up of 9.5 years. Parameters assessed at clinical and radiological examination were Union/non-union rates, time to union, Shoulder function, time back to work and complications.
The shoulder function was assesses by using the Constant-Murley score, which has been recommended by the European Orthopaedic Association. All of the 60m mid-shaft clavicle fractures have plated with one-third tubular plate within 48 hours of the injury. All of them were immobilized in a sling for 72 hours and were the commenced physiotherapy. Skin sutures were removed on the 10th postoperative day. The mean time to radiographic union was 10 weeks. No non-union occurred. Four cases has superficial infection. Six patients had skin numbness over the incision. Average Constant-Murley score was 97% as compared to the contralateral shoulder.
In this study we analyzed our results with osteosynthesis of mid-shaft clavicle fractures using one-third tubular plate.
The abstracts were prepared by Raymond Moran. Correspondence should be addressed to him at the Irish Orthopaedic Assocation, c/o Cappagh National Orthopaedic Hospital, Finglas, Dublin 11, Ireland.
