A Prospective Observational Study on Outcomes of Displaced Mid-Shaft Clavicle Fractures Treated with Locking Compression Plate at a Tertiary Center in Jaipur

Author(s): Vishal Singh1, Anil Kumar Marotia2, Avinash Gundavarapu3, Alokeshwar Sharma4

Fracture of the clavicle shaft forms 70 % to 80 % of all clavicular fractures. More
recent data, suggests that the incidence of non-union in displaced comminuted
midshaft clavicular fractures after conservative treatment is higher than previously
presumed. The purpose of our study was to analyse the functional outcome of mid
third displaced clavicular fractures treated using locking compression plate.
Our study is a prospective observational study conducted in Department of
Orthopaedics, Dhanwantri Hospital & Research Centre, Jaipur, Rajasthan, from
May 2016 to June 2017. Patients presented to emergency room with displaced
middle third clavicle fracture, treated with locking compression plate (LCP) were
the subjects in our study. 20 cases were evaluated in our study. The functional
outcome was assessed by constant and Murley score.
Mean age in our study of 20 cases was 34.85 year. Out of the them, 13 (65 %)
patients were males and 7 (35 %) patients were females. According to Robinson
classification, 13 cases (65 %) were type 2b1 and 7 cases (35 %) were type 2b2.
In majority of cases, (75 %) hospital stay was less than 4 days. Out of the 20
cases, 17 (85 %) patients returned to work within 14 weeks. Majority of cases, 90
% (18) patients in the present study fracture union occurred before 10 weeks.
Post-operative complications were seen in 5 cases (25 %). This study showed 85
% of patient (17) had excellent functional outcome and 15 % of patients (3) had
good results, the mean ± SD (min to maximum) constant score was 94.20 ± 3.48
(84 to 98).
Treatment of displaced midshaft clavicle fracture with locking compression plate
provides better biomechanical stability, good fracture union rates, high postoperative
constant score, early pain resolution, early return to activity, high patient
satisfaction rates and excellent functional outcome. These benefits of plating
overweigh complications when used in specific indications like displaced with or
without comminuted middle third clavicle fracture (Robinson Type 2B1, 2B2).