Clinical outcome of internal fixation of middle third clavicle fractures using locking compression plate: Comparison between open plating and MIPO

Kundangar, Raghuraj and Singh, Amerendra Kumar and Mohanty, SP and Eshwari, K (2019) Clinical outcome of internal fixation of middle third clavicle fractures using locking compression plate: Comparison between open plating and MIPO. Journal Orthopaedics, 16 (5). pp. 414-418. ISSN 0972-978X

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Abstract

Middle third clavicle fractures have traditionally been treated nonoperatively.1,2 Recent studies have shown that the incidence of symptomatic non-union and malunion in displaced middle third clavicle fracture is as high as 15–20%, with low shoulder outcome scores when managed non-operatively.3–5 Hence, there is now a trend towards the internal fixation of these fractures, to achieve early return of function and reduce rates of symptomatic nonunion and malunion.6 Internal fixation of these fractures is not without complications. Prominent hardware leading to skin irritation, nonunion, implant breakage, numbness and paresthesia around the surgical scar and infection are the some of the common complications,7,8 especially with plate fixations. With the introduction of locking plates, minimally invasive plate osteosynthesis (MIPO) has become more popular in the treatment of long bone fractures. However, MIPO technique is not frequently used in fixation of long bone fractures of the upper limb. Some authors have reported good clinical and radiologic outcomes with the use of MIPO in treating fractures of the clavicle.9–13 There are only a few authors who have compared the outcomes between open plating and MIPO, and shown that both methods of internal fixation of acute displaced middle third clavicle fractures, are equally effective and safe.14,15 The purpose of our study is to compare the clinical and radiologic outcomes of acute displaced middle-third clavicle fractures treated by internal fixation with locking plates, between conventional open plating and MIPO, and to analyze if similar results are reproducible and report any complications.

Item Type: Article
Uncontrolled Keywords: Clavicle fractures; Minimally invasive plate osteosynthesis (MIPO); conventional open plating; locking compression plate.
Subjects: Medicine > KMC Manipal > Community Medicine
Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 02 Jul 2020 04:21
Last Modified: 02 Jul 2020 04:21
URI: http://eprints.manipal.edu/id/eprint/155215

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