scholarly journals A prospective study on operative management of displaced fracture of midshaft of clavicle

2017 ◽  
Vol 3 (3) ◽  
pp. 619
Author(s):  
Mohammed Ismail Hathiwale ◽  
Prakash A. Sasnur ◽  
Md. Johorul Islam Tapadar
Keyword(s):  
Plate Fixation ◽  
Operative Management ◽  
Delayed Union ◽  
Locking Compression Plate ◽  
Non Union ◽  
Early Return ◽  
Compression Plate ◽  
Clavicle Fractures ◽  
Displaced Fracture ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Clavicle fractures had been traditionally treated non-operatively which resulted in high rates of non-union. The present study has been undertaken to study the role of precontoured locking compression plate in the fixation of mid-third clavicle fractures.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">We reviewed the results of 25 cases of displaced middle third clavicle fractures (Robinson type 2B) which were treated with open reduction and internal fixation with pre-contoured locking compression plate at Al-Ameen Medical College and Hospital</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">Out of 25 patients operated with precontoured LCP, 21 were male and 4 were female patients. One patient had hypertrophic scar, one patient had plate prominence, two patients had delayed union and one patient had implant failure, none of them developed non-union. Constant Murley score was excellent in 19, good in 4 and fair in 1 patient and poor in 1 patient. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">Precontoured locking compression plate fixation has better functional outcome, immediate pain relief, early return to function and avoids complications of conservative methods.</span></p>

Evaluation of results of fracture Clavicle by Reconstruction Plate

2020 ◽  
Vol 7 (4) ◽  
pp. 133-136
Author(s):  
Dr. Vijay Patil
Keyword(s):  
Clavicle Fracture ◽  
Locking Compression Plate ◽  
Reconstruction Plate ◽  
Superficial Infection ◽  
Non Union ◽  
Fracture Clavicle ◽  
Study Results ◽  
Compression Plate ◽  
Clavicle Fractures ◽  
K Wires

Background: Clavicle being most common fracture in human. It is mainly managed conservatively. The results are further improved surgically. Most common surgical treatment is locking compression plating. The aim of the present study is to compare results of reconstruction plating for mid shaft clavicle fractures over locking compression plate. Material & method: The study was conducted on the patients of clavicle fractures coming to Patil hospital Ahmednagar. Total 69 patients were operated with 3.5 millimeter reconstruction plate in this study, during the period of 3 years 2016-2019. Total 63 were male and 6 were females. All fractures were fixed with reconstruction plating and the butterfly fragments were stabilized with k-wires. The functional outcome was measured by the constant and murely score [17] at the end of 3 months from the injury. The fracture union time and associated problems are also compared. Results: Out of 69 patients, 61 patients (88.41%) had excellent results. 5 patient (7.25%) had good result and 8 patients (11.60%) had poor functional out come. 5 patients (7.25%) had complications out of which 1 patient (1.45%) had plate breakage, 2 patients (2.9%) had migration of pin. There was superficial infection in 2 patients (2.9%). The study shows excellent results with simple effective economical reconstruction plates with k-wires. The complications were minimal, mainly in the form of pin migration which was only subcutaneous, removed at the time of implant removal. Conclusion: In these study results of reconstruction plating for mid shaft clavicle fracture was studied. It was found that results were improved, in patient’s oriented outcome, earlier return to the function, reduced non union and mal union and was more effective and economical. For management of mid shaft fracture clavicle. The locking compression plate was not found any superior to reconstruction plate.  

scholarly journals Results of Surgical Management of Highly Unstable Complex Distal Femur Fractures with Distal Femoral Locking Compression Plate Fixation: A Prospective Study of 58 Cases

2020 ◽  
pp. 11-16
Author(s):  
Dr. Rajesh Kumar Sharma ◽  
Dr. Rajesh Goel
Keyword(s):  
Prospective Study ◽  
Distal Femur ◽  
Plate Fixation ◽  
Lateral Approach ◽  
Locking Compression Plate ◽  
Femur Fractures ◽  
Institutional Ethics ◽  
Compression Plate ◽  
One Year ◽  
A Prospective Study

Background: The optimal treatment of complex distal femur fractures always remains challenging and controversial. The purpose of this prospective study was to evaluate the efficacy of distal femoral locking compression plate (DF-LCP) in terms of functional outcome, and union rate for highly unstable or complex distal femurfractures and to determine the influencing factors of an unfavorable outcome. Methods: After obtaining approval from the institutional ethics committee, 58 patients with complex distal femur were managed by open reduction and internal fixation with DF-LCP through lateral approach and as per standard protocol. The follow-up results were analyzed clinically and radiologically, using the “ Schatzker and Lambert criteria” at once in a month for the first three months, once in three months upto one year and once in six months after that up to two years.

scholarly journals Potential outcome of locking compression plate in proximal humerus fractures

2018 ◽  
Vol 4 (6) ◽  
pp. 835
Author(s):  
J. P. V. Jebaraj ◽  
B. Sundararaja
Keyword(s):  
Functional Outcome ◽  
Proximal Humerus ◽  
Bone Fractures ◽  
Plate Fixation ◽  
Locking Compression Plate ◽  
Proximal Humerus Fractures ◽  
Non Union ◽  
Compression Plate ◽  
Humerus Fractures

<p class="abstract"><strong>Background:</strong> Fractures of proximal humerus bone needs immediate attention as the delayed treatment might result in non-union, malunion, and avascular necrosis which are responsible for the pain and dysfunction. The aim of the present study is to evaluate the functional outcome of displaced proximal humerus bone fractures that are surgically managed by locking compression plate and to assess the potential complication.</p><p class="abstract"><strong>Methods:</strong> The present study is the combination of both prospective and retrospective in which 30 patients with either Neer’s three part or Neer’s four-part proximal humerus fractures which were fixed with locking plate by a single surgeon. Functional outcome was measured by Constant Murley scoring (CMS) system.<strong></strong></p><p class="abstract"><strong>Results:</strong> The final follow-up of the study showed that 21 patients (70%) had the result that ranged from good to excellent score whereas, 6 patients (20%) had moderate score and 3 patients had poor score in functional outcome according to CMS system. During follow-up, 3 complications (10%) were encountered.</p><p class="abstract"><strong>Conclusions:</strong> The study concluded that proximal humerus locked compression plate is a valuable surgical method for the fixation of comminuted fractures of the proximal humerus as it is associated with excellent functional outcome. It also provides a stable fixation to permit early mobilization. Regaining medial cortical contact and establishing anatomical reductions decreases the complications that are associated with plate fixation.</p>

Sign in / Sign up

Export Citation Format

Share Document