A Comparative Study Between Plate Fixation and Intramedullary Fixation for Displaced Mid-Shaft Clavicle Fractures in...

Area of Science:

• Orthopaedic Surgery
• Traumatology
• Biomechanics

Background:

• Clavicle fractures are common, with surgical fixation often preferred for adults.
• Plate fixation and intramedullary nailing are standard surgical treatments for mid-shaft clavicle fractures.

Purpose of the Study:

• To compare the functional outcomes, complications, and bony union duration of plate fixation versus intramedullary nailing for mid-shaft clavicle fractures.

Main Methods:

• A quasi-experimental study involving 38 adult patients with mid-shaft clavicle fractures.
• Patients were randomized to receive either plate fixation (n=19) or intramedullary nail fixation (n=19).
• Outcomes assessed included Visual Analogue Scale (VAS) and Disabilities of the Arm, Shoulder and Hand (DASH) scores, complications, and duration of bony union.

Main Results:

• Both plate and nail fixation significantly improved VAS and DASH scores post-operatively.
• No statistically significant difference in functional outcomes (VAS, DASH scores) was observed between the two groups at 6, 12, and 24 weeks.
• Intramedullary nailing resulted in a shorter hospital stay and earlier DASH score improvement within the first six months. Complications included implant loosening with plating and implant failure with nailing.

Conclusions:

• Surgical intervention for displaced and comminuted clavicle fractures can prevent malunion and non-union.
• Both plate fixation and intramedullary nailing provide good functional outcomes and facilitate early return to occupational activities.