A Comparative Analysis of Plating versus Clavicle Pin in the Management of Clavicle Fracture
DOI:
https://doi.org/10.48112/acmr.v3i4.44Keywords:
Clavicle pinning, clavicle fracture, platingAbstract
Abstract Views: 59
To compare plating versus clavicle pin in the management of clavicle fracture. Eighty- four adult patient in age ranged 24- 60 years of either gender with mid-shaft clavicle fracture were randomly divided into 2 groups of 42 each. Group I patients were treated with clavicle pins and group II with plating. Parameters such as ASES score subjective, objective, constant score subjective, objective and complications of each method was recorded. There were 22 males and 20 females in group I and 24 males and 18 females in group II. ASES score subjective pain value found to be 9.8 in group I and 9.0 in group II. Activity score found to be 29.7 in group I and 28.3 in group II. ASES score objective range of motion found to be 40 in group I and 39.2 in group II. Strength was 20 each in both groups. Constant score subjective was 34.4 in group I and 32.1 in group II. Constant score objective was 63.5 in group I and 61.9 in group II. A significant difference was observed (P< 0.05). Result of the study demonstrated that clavicle pinning resulted in excellent functional outcomes.
References
Hill J M, McGuire MH, Crosby LA. Closed treatment of displaced middle third fractures of the clavicle gives poor results. J Bone Joint Surg 1977:79:537-8.
Paffen PJ, Jansen EW. Surgical treatment of clavicular fractures with Kirschner wires: A comparative study. Arch Chir Neerl 1978;31:43-53.
Capicotto PN, Heiple KG, Wilbur JH. Midshaft clavicle nonunion treated with intramedullary Steinman pin fixation and on lay bone graft. J Orthop Trauma 1994;8:88-93.
Putnam MD, Walsh TM 4th. External fixation for open fractures of upper extremity. Hand clin1993;9:613-23.
Schuind F, Pay-Pay E, Andrianne Y, Donkerwolcke M, Rasquin C, Burny F. External fixation of the clavicle for fracture or non-union in adults. J Bone Joint Surg Am 1988;70: 692-5.
Nosny P, Bourrel P, Aubert L, Caron JJ. Setting of fractures of the clavicle with plaster rings (Cabanie method). Mrs Chir. 1965;17:321-3.
Boehme D, Curtis JR, DeHaan JT, Kay S, Young DC, Rockwood CA. non-Union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone grafting. J Bone Joint Surg Am 1991;73:1219-26.
Neer CS. Nonunion of the clavicle. JAMA 1960;172:1006-11.
Robinson CM, Court- Brown CM, McQueen MM, Wakefield AE. Estimating the risk of nonunion following nonoperative treatment of a clavicle fracture. J Bone Joint Surg Am 2004;86:692-1359-65.
Nowak J, Holgersson M, Larsson S. Can we predict long term sequelae after fractures of the clavicle based on initial findings? A prospective study with nine to ten years of follow up. J Shoulder Elbow surg 2004;13:479-86.
Bostman O. Manninen M, Pihlajamaki H. Complications of plate fixation in fresh displaced midclavicular fractures. J Trauma 1997;43:778-83.
Ngarmukos C, Parkpian V, Patradul A. Fixation of fractures of the midshaft of the clavicle with kirschner wires. J Bone Joint Surg Br 1998;80:106-8.
Lyons FA, Rockwood CA. Migration of pins used in operation of shoulder. J Bone Joint Surg Am 1990;72:1262-7.
Naveen BM, Joshi GR, Harikrishnan B. Management of mid-shaft clavicular fractures: comparison between non-operative treatment and plate fixation in 60 patients. Strategies in trauma and limb reconstruction. 2017 Apr 1;12(1):11-8.
Thyagarajan DS, Day M, Dent C, Williams R, Evans R. Treatment of mid-shaft clavicle fractures: a comparative study. International journal of shoulder surgery. 2009 Apr;3(2):23.
Dugar N, Hossain E, Bandyopadhyay U, Shaw R. A comparative study of non-operative and operative management in fracture clavicle. Journal of the Indian Medical Association. 2013 Dec 1;111(12):806-8.
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