Functional Outcome of Lateral End Clavicle Fractures Treated with Precontoured Lateral End Clavicle Plates Verses Clavicle Hook Plate – A Comparative Study
Background: Lateral end clavicle fractures are common to end up in nonunion if not surgically treated, many interventions are advised for the surgical management of lateral end clavicle fractures. Precontoured lateralend clavicle locking plates (PLCLP) and clavicle hook plates (CHPs) are among the c...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
|
| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_18_23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Background:
Lateral end clavicle fractures are common to end up in nonunion if not surgically treated, many interventions are advised for the surgical management of lateral end clavicle fractures. Precontoured lateralend clavicle locking plates (PLCLP) and clavicle hook plates (CHPs) are among the commonly used techniques; nonetheless, no single procedure is deemed to be the benchmark treatment. Thus, the aim of the study is to compare the functional outcome of lateral end clavicle fractures treated with precontoured lateral end clavicle plates verses CHP.
Objectives:
This study involves evaluating the functional outcome of lateral end clavicle fractures treated with precontoured lateral end clavicle locking plates verses CHP.
Materials and Methods:
In 20 patients with lateral end clavicle fractures 10 patients were treated with open reduction and internal fixation with precontoured lateral end clavicle locking plate and 10 patients treated with CHP at the Department of Orthopaedics MMCR and I, Mysore, from December 2020 to May 2022 with age from 18 years to 65 years. Clinical assessments for functional outcome were performed at 3 weeks, 12 weeks and 24 weeks interval and results were analyzed using the Constant and Murley score.
Results:
Twenty patients were followed for 6 months the mean Constant–Murley score, and in the PLCLP group were, 82.1 ± 5.2, at 12 weeks postoperatively. Scores were significantly better than those in the HP group 72.5 ± 4.1 (P < 0.05). At 24 weeks postoperatively, mean Constant–Murley score was 90 ± 4 in the PLCLP group and 80 ± 5 in the CHP group. Functional outcome is better and lesser complications among the group treated with precontoured lateral end clavicle locking plates compared to the group treated with CHP.
Conclusion:
Open reduction and internal fixation with precontoured lateral end clavicle locking plates provide better functional outcomes and fewer complications than those treated with CHP in treating lateral end clavicle fractures. |
|---|---|
| ISSN: | 0975-7341 2347-3746 |