A prospective study on clinical outcome following surgically managed displaced clavicle fractures using pre-contoured locking plate and screws

Background: Lateral end clavicle fractures are one of the common upper limb fractures. They constitute 21–28% of all clavicle fractures. Of these 10–52% is displaced fractures. The management of fractures of lateral end clavicle remains debated and challenging. The objectivbe of this study is to evaluate the functional outcome following surgical treatment of unstable/displaced (Neer type II lateral clavicle fractures, and acromio-clavicular joint dislocations Rockwood grade III to V) lateral end clavicle fractures using lateral clavicle locking plate.Methods: It is a prospective study conducted in the orthopaedics department of GSL Medical College and General Hospital for a period of 3 years (April 2016 to March 2019) among a total of 60 patients.Results: About 23 (38.3%) belonged to 41–50 years age group, followed by 16 (26.7%) to 31–40 years age group and 13 (21.7%) to >51 years age group and 8 (13.3%) to 18–30 years age group. The time from trauma to surgery ranged from 0-15 days with a mean of 5 days and the mean operating time was 41 minutes ranging between 23-70 minutes. Mean duration to union was 13.33±2.126 weeks and the mean Constant Murley score was 88.56. Functional outcome at 6 months follow up was excellent in 8 (13.3%), good in 37 (61.7%), fair in 13 (21.7%) and poor in 2 (3.3%) patients.Conclusions: Although there is no consensus as to a “gold standard” fixation method for unstable distal clavicle fractures, satisfactory outcomes could be obtained using the lateral clavicle locking plate resulting in sufficient stabilization and good functional outcome.

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Clinical outcome of treatment of intra-articular distal humerus fracture with open reduction and internal fixation by orthogonal locking plate: a prospective study

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20201030 ◽

2020 ◽

Vol 6 (3) ◽

pp. 471

Author(s):

Deepak Vashistha ◽

Sandeep Naik ◽

Santosh Nandi ◽

Shreepad Kulkarni

Keyword(s):

Clinical Outcome ◽

Prospective Study ◽

Locking Plate ◽

Motor Vehicle ◽

Motor Vehicle Accident ◽

Distal Humerus ◽

Rigid Fixation ◽

Articular Fractures ◽

The Mean ◽

A Prospective Study

Background: The aim of the study was to study the clinical outcome and complications of surgical management of intra-articular fractures of distal humerus.Methods: A prospective study included 23 consented patients with intra-articular distal humeral fractures who underwent osteosynthesis by orthogonal locking compression plating using posterior approach with olecranon osteotomy between November 2017 to May 2019 at BLDE(DU’s) Shri BM Patil Medical College, Vijayapura, Karnataka.Results: In our study there were 15 male patients and 8 female patients with mean age of 38.5 years. 65.2% of the cases admitted were due to motor vehicle accident, 21.7% due to accidental fall and 13% due to fall from height with right side (73.9%) being the more commonly affected side. The mean operative time was 100 minutes. Mayo Elbow Performance Score was 83.3% post operatively and the mean arc of motion was 117°. 82% of cases fared excellent to good results.Conclusions: Orthogonal locking plate construct provides stable rigid fixation for allowing early mobilisation and allows predictable healing both clinically and functionally in these complicated fractures. Absence of implant failure and non-union may be attributed to the highly stable construct system achieved by orthogonal locking plating. Majority of our cases had good functional outcome and return to pre injury status.

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Management of lateral end clavicle fractures using lateral clavicle locking plate: A prospective study

National Journal of Clinical Orthopaedics ◽

10.33545/orthor.2021.v5.i3c.312 ◽

2021 ◽

Vol 5 (3) ◽

pp. 164-166

Author(s):

Dr. Sujanatheja JS ◽

Dr. Pavankumar Patted

Keyword(s):

Prospective Study ◽

Locking Plate ◽

Lateral Clavicle ◽

Clavicle Fractures ◽

A Prospective Study

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Dynamic Proximal Ulnar Osteotomy for the Treatment of Ununited Anconeal Process in 17 Dogs

Veterinary and Comparative Orthopaedics and Traumatology ◽

10.1055/s-0038-1632614 ◽

1998 ◽

Vol 11 (02) ◽

pp. 76-79 ◽

Cited By ~ 14

Author(s):

B. M. Turner ◽

R. H. Abercromby ◽

J. Innes ◽

W. M. McKee ◽

M. G. Ness

Keyword(s):

Clinical Outcome ◽

Prospective Study ◽

Patient Population ◽

Clinical Results ◽

Radiographic Evaluation ◽

Proximal Ulna ◽

Ulnar Osteotomy ◽

A Prospective Study

SummaryA prospective study was made of 17 dogs with ununited anconeal process treated by osteotomy of the proximal ulna. The effect of the surgery on lameness was evaluated subjectively and the elbows were assessed radiographically for evidence of anconeal fusion and healing of the osteotomy. Whilst clinical outcome was generally good and complications infrequent, relatively few cases achieved anconeal fusion. These results do not compare well with the results of a previous study but this disparity may be due in part to differences in patient population and radiographic evaluation.Further work is required to establish how best to achieve predictable anconeal fusion.Proximal ulnar osteotomy was used to treat 17 dogs with ununited anconeal process. Clinical results were good but anconeal fusion was not achieved consistently. Further work is needed to determine how best to achieve predictable anconeal fusion.

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