Evaluation of displaced fractures of clavicle managed by reconstruction plate

INTRODUCTION: Most clavicular fractures heal uneventfully without serious consequences with nonoperative treatment.
There has been increasing evidence that the outcome of nonoperatively treated (especially displaced or shortened) midshaft fractures is not as optimal as was once thought.
Recent evidence from prospective and randomized clinical trials has suggested that there is a subset of individuals who benefit from primary operative care.

MATERIAL AND METHODS: The present study consisted of 25 cases in the age group of 16 years or above of either sex in this study patients aged 16 and above with displaced clavicular fracture will be selected. They will undergo open reduction and internal fixation with reconstruction plate. The patients will be evaluated clinically and radiologically and outcome assessed by constant score.

RESULTS: Road traffic accidents accounted for the majority of cases of diaphyseal fracture of clavicle. In present study 23 cases were having good to excellent results. 2 cases were having fair results and none was having poor result on functional evaluation. 22 had union in less than 12 weeks of time. 3 cases which had union after 12 weeks were labelled as delayed union.