Comparative Analysis between Locking Compression Plate and Titanium Elastic Nail Fixation for Clavicle Fractures
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Date
2019-03
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International Research Organization for Life & Health Sciences (IROLHS)
Abstract
Background: Clavicle fracture is one of the most common fractures of young active individuals; most of the clavicle fracturesare managed by the conservative method previously, but after understanding the fracture, biomechanics of clavicle surgicalmanagement found to have a good functional outcome and early mobilization of the patient. Fracture pattern-like displacedcomminuted, shortening <2 cm all have an impact on union and functional outcome.Methods: This is a prospective study of 40 cases of the clavicle fracture treated by ORIF with locking compression plate andclosed reduction internal fixation/open reduction internal fixation (ORIF) with an elastic nail. The period of study follow-up extendsfrom 2017 to 2019 in the Department of Orthopedics, KAPV Medical College Hospital, Tiruchirapalli.Results: In our study, we evaluated 40 cases of clavicle fracture treated by ORIF with locking plate (20 cases) and titaniumelastic nailing (20 cases). All the 20 cases of plating, two cases had a superficial infection and treated by higher antibioticsand one case after fracture healing implant exit done. The infection was settled. All the 20 cases of nailing, 18 cases are goodoutcome, one case are non-union, and two cases were superficial infection after higher antibiotics infection was settled.Conclusion: Locking compression plate is recommended for displaced midshaft comminuted clavicle fracture. When comparedto elastic nailing, locking compression plate has an excellent functional outcome and minimal complication.
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Keywords
Clavicle fracture, Locking compression plate and screws, Titanium elastic nail
Citation
R Devendran, R Vasantharaman. Comparative Analysis between Locking Compression Plate and Titanium Elastic Nail Fixation for Clavicle Fractures . International Journal of Scientific Study. 2019 Mar; 6(12): 167-170