Functional outcome of displaced middle third clavicular fractures treated by plate osteosynthesis

2021 ◽  
Vol 7 (2) ◽  
pp. 335
Author(s):  
A. Palanivel
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Plate Osteosynthesis ◽  
Locking Compression Plate ◽  
Activity Level ◽  
Clavicular Fracture ◽  
Union Rate ◽  
Compression Plate

<p class="abstract"><strong>Background:</strong> Clavicle fracture is a common traumatic injury around the shoulder girdle due to its subcutaneous position. Recent studies have shown a higher rate of nonunion and shoulder dysfunction in subgroups of patients with clavicle fractures. The purpose of the study was to prospectively analyse the functional outcome of mid-third displaced clavicular fractures treated by open reduction and internal fixation with plate osteosynthesis. To study the outcome of displaced middle-third clavicular fracture streated by plate osteosynthesis.</p><p class="abstract"><strong>Methods:</strong> This was a prospective comparative on-randomized study was conducted in Government District Head Quarters Hospital Nagapattinam with a follow-up ranging from September 2018 to January 2019 5 months. Thirty-four cases of middle third displaced (Robinson type 2b1 and 2b2) clavicular fractures are treated with plate osteosynthesis. We used a reconstruction plate, a locking compression plate, and a 1/3<sup>rd</sup> tubular plate for study.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean time to union was 9.5 weeks. At the latest follow-up, the entire patients returned to the pre-injury activity level. One case had a superficial infection which was treated with intravenous antibiotics. There is no difference between the reconstruction group and the locking compression plate group in terms of functional outcome and union rate. We also noticed that road traffic accident and direct injury to the shoulder causes Robinson type 2b2 fractures.</p><p class="abstract"><strong>Conclusions:</strong> Open reduction and rigid internal fixation of displaced midshaft clavicular fracture have resulted in a good fracture union rate and excellent functional outcome.</p>

scholarly journals FUNCTIONAL OUTCOME OF PROXIMAL HUMERUS FRACTURES TREATED WITH OPEN REDUCTION AND INTERNAL FIXATION WITH A LOCKING COMPRESSION PLATE: A CROSS SECTIONAL STUDY

2021 ◽  
Vol 10 (4) ◽  
pp. 3266-3269
Author(s):  
Abhishek Patil
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Open Reduction ◽  
Proximal Humerus ◽  
Constant Score ◽  
Locking Compression Plate ◽  
Proximal Humerus Fractures ◽  
Compression Plate ◽  
Humerus Fractures ◽  
The Mean

Proximal humerus fractures account for about 4% to 5% of all fractures. Following distal forearm fracture, proximal humeral fracture is the second most common upper extremity fracture. Kirschner (K)-Wires, external fixation, tension band wiring, and rush pins, intramedullary nails, ORIF with plates, and shoulder hemiarthroplasty have all been offered as therapeutic options. The purpose of this study was to assess the functional outcome and complication rates following internal fixation of proximal humerus fractures using a locking compression plate. Patients over the age of 18 with closed proximal humerus fractures or open proximal humerus fractures (Gustilo and Anderson type I, Type II) received open reduction and internal fixation with locking compression plate in the current study. The participants in this study were 60 people who had a proximal humerus fracture and were treated with open reduction and a proximal humerus locking compression plate. Patients ranged in age from 20 to 85 years old, with a mean age of 51.14 +/- 17.30 years. The age group 36–55 years (37 percent) was the most prevalent, followed by 56–75 years (30 %). The majority of patients (76.7 %) were men who had been in automobile accidents on the right side (83 %) (63 %). According to the Neer classification, the most prevalent type of fracture was a three-part fracture (53 %). The maximum union time observed in this study was 16 weeks, with a minimum of 10 weeks. The average time to union is 12.52 +/- 1.14 weeks. The mean flexion at the end of six months was 121.660 +/- 19.84. The mean internal rotation was 57.330 +/- 8.48, the mean external rotation was 530 +/- 11.98, and the mean abduction was 1180 +/- 19.36. 75.28 +/- 9.66 [Mean +/- SD] is the Mean Constant score. Pain 14.10, ADL 18.26, range of motion 22.46, and power 20 were the mean scores observed on Constant Score for its various aspects. According to the Constant score, the functional outcome of the 60 patients was as follows: 8 patients had excellent outcomes (13%), 34 patients had good outcomes (56.7%), 16 patients had moderate outcomes (26.7%), and two patients had poor outcomes (26.7%) and (3 %). Internal fixation of proximal humerus fractures with a locking compression plate results in anatomical reduction and secure fixation, resulting in a favorable functional outcome.

scholarly journals Management of Distal Femoral fractures with Locking Compression Plate- A Prospective study

2021 ◽  
Vol 12 (1) ◽  
pp. 61-68
Author(s):  
Abhijit Maruti Kadam ◽  
Sujay K Mahadik ◽  
Sagar Rampure ◽  
Rahil B Jiwani
Keyword(s):  
Internal Fixation ◽  
Functional Outcome ◽  
Knee Flexion ◽  
Open Reduction ◽  
Femoral Fractures ◽  
Common Type ◽  
Locking Compression Plate ◽  
Distal Femoral Fractures ◽  
Compression Plate ◽  
Type Of Fracture

Background: Distal femoral fractures are one of the common type of fractures seen after motor vehicular accidents. The optimal management of these fractures requires open reduction and internal fixation by plates and screws. Various studies have shown that open reduction and internal fixation by plates and screws result in early post-operative knee mobilization which is essential for good union and better functional outcome. Aims and Objective: The current study was conducted to evaluate the results of fracture lower end of femur treated by open reduction and internal fixation using locking compression plate. Materials and Methods: This was a prospective clinical study in which the cases with fracture lower end of femur were included on the basis of a predefined inclusion and exclusion criteria. Fractures were categorised by Mullers classification. All patients were treated by distal femoral locking compression plates and screws. The cases were followed up for radiological union and functional outcome (Neer’s scoring). The statistical analysis was done using SSPS 21.0 software. P value less than 0.05 was taken as statistically significant. Results: Out of the 20 studied cases there were 13 (65%) males and 7 (35%) females with a M:F ratio of 1:0.53. Road traffic accidents were the most common cause (75%) of distal femoral fractures. The most common type of fracture seen in studied cases was found to be Mullers C2 type of fracture (45%) followed by Mullers C3 (20%) and Mullers C1 (15%). All patients were treated by open reduction and internal fixation. Mean Injury to surgery interval was found to be 4.25 days in studied cases. Postoperatively desirable knee flexion (1100) was achieved in 10 (50%) cases whereas in 8 patients 910-1090knee flexion was achieved. In 2 (10%) patients less than 900 knee flexion could be achieved. The functional outcome (as assessed by Neer’s score) showed that Good and fair results were seen in 13 (65 %) and 6 (30 %) patients. Poor functional outcome was seen in only 1 (5 %) patient. Conclusion: Locking compression plate is found to have good results in patients with traumatic distal femoral fractures in terms of early mobilization and functional outcome. Particularly in intra-articular fractures it provides good angular stability by its triangular reconstruction principle.

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