To Study the Outcome of Displaced Fracture Clavicle Treated by Plate Osteosynthesis: A Study in Teaching Hospital in North East India

INTRODUCTION: Fracture of the clavicle is common, especially in young adults with a prevalence rate of 3-5 % with midshaft fracture accounting for 85 % of all clavicle fractures. Displaced midshaft clavicle fracture are prone to delayed union, mal-union and non-union with decrease in normal activity and work. Open reduction and internal fixation with plating provides rigid fixation, low rates of non-union and malunion with early functional recovery. MATERIAL AND METHODS: It was a cross-sectional, Hospital based study conducted in the Orthopedics Department of AGMC& GB Pant hospital, Agartala from May 2017 to May 2019 in which functional outcome of 30 cases of displaced mid shaft clavicular fractures treated with open reduction and internal fixation with plate osteosynthesis was evaluated using Constant Murley score. RESULTS: In our study majority (70 %) of the patients were male with dominant side involvement in 73 % of cases. In 76 percent of the cases fracture united within 10 weeks with average union rate of 8.2 weeks. Among complications, 5 cases complained of hardware prominence, implant loosening with failure was seen in 1 case and superficial infection in 2 cases. In our study 90 % of the cases had excellent to good functional outcome while poor outcome was seen in only 3 % of cases. CONCLUSIONS: We conclude that open reduction and internal fixation of displaced mid shaft fracture clavicle results in excellent functional outcome with an early return to normal activities and is associated with minimal complication rate.