Evaluating the Outcomes of Managing Displaced Clavicular Fractures by Using Precontoured Clavicular Plates
Krishna M1, Shagnik Paul1, Rakesh K Gupta1
1Orthopaedics, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, IND.
Cureus
|September 3, 2024
Summary
The 3.5-mm precontoured locking compression plate (LCP) offers effective treatment for displaced clavicle fractures, achieving excellent functional outcomes and high union rates with minimal complications in most patients.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Biomedical Engineering
Background:
- Midshaft clavicular fractures historically had poor outcomes with conservative management.
- Anatomically precontoured plates offer superior fixation for displaced clavicle fractures.
- Plate fixation complications can deter surgeons despite functional benefits.
Purpose of the Study:
- To evaluate the efficacy of the 3.5-mm precontoured locking compression plate (LCP) for displaced clavicle fractures.
- To assess complication rates associated with this specific implant in clavicle fracture management.
Main Methods:
- Prospective observational study of 26 patients with displaced clavicular fractures.
- Treatment involved fixation with a 3.5-mm precontoured LCP.
- Functional outcomes assessed using Constant-Murley Score (CMS); radiographic union evaluated.
Main Results:
- Excellent functional scores (mean CMS 94.9) achieved in 25/26 patients.
- 85% of patients experienced no complications.
- Radiographic union averaged 13.8 weeks; minor complications included implant irritation and scarring.
Conclusions:
- The 3.5-mm precontoured clavicular LCP is an effective technique for displaced clavicle fractures.
- This method provides good functional outcomes with a low complication rate.
- The study supports the use of precontoured LCPs for optimal clavicle fracture management.
Keywords:
clavicle fracturescomplicationconstant-murley scorefunctional and radiological outcomelocking compression platingMore Related Videos
Related Concept Videos
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160
01:27Fractures: Bone Repair
3.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.0K
01:09Changes in the Appendicular Skeleton with Age
1.9K
The upper and lower limb initially develops as a small bulge called a limb bud, which appears on the lateral side of the early embryo. The upper limb bud appears near the end of the fourth week of development, with the lower limb bud appearing shortly after.
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
Initially, the limb buds consist of a core of mesenchyme covered by a layer of ectoderm. The ectoderm at the end of the limb bud thickens to form a narrow crest called the apical ectodermal ridge. This ridge stimulates the underlying...
1.9K