Evaluation of results of fracture Clavicle by Reconstruction Plate


Mid shaft clavicle fracture
Reconstruction plating
1 millimeter k-wire

How to Cite

Patil, D. V. (2020). Evaluation of results of fracture Clavicle by Reconstruction Plate . VIMS Health Science Journal , 7(4), 133-136. https://doi.org/10.46858/vimshsj.7408


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.  



Craig E.V., Basamania C.J., Rockwood C.A. Fractures of the clavicle. In: Rockwood C.A., Matsen F.A., Wirth M.A., Lippitt S.B., editors. The Shoulder. 3rd ed. Saunders; Philadelphia: 2004. pp. 455–519. [Chapter 11]

Jupiter J.B., Leffert R.D. Non-union of the clavicle associated complications and surgical management. J Bone Jt Surg (Am) 1987;69:753–760.

Hill J.M., Mc Guire M.H., Crosby L.A. Closed treatment of displaced middle third fractures of the clavicle gives poor results. J Bone Jt Surg (Br) 1997;79:537–540.

Poigenfurst J., Rappold G., Fischer W. Plating of fresh clavicular fractures. Injury. 1992;23(4):237–241.

Constant C.R., Murley A.H.G. A clinical method of functional assessment of the shoulder. Clin Orthop Relat Res. 1987;214:160–164.

Labler L., Platz A., Weishaupt D., Trentz O. Clinical and functional results after floating shoulder injuries. J Trauma. 2004;57:595–602.

Nordqvist A., Petersson C.J., Redlund-Johnell I. Mid clavicular fractures in adults: end result study after conservative treatment. J Orthop Trauma. 1998;12:572–576.

Robinson C.M., Court Brown C.M., McQueen M.M., Walkefield A.E. Estimating the risk of non-union following non-operative treatment of a clavicular fracture. J Bone Jt Surg (Am) 2004;86:1359–1365.

Edwards D.J., Kavanagh T.G., Flannery M.C. Fractures of the distal clavicle a case for fixation. Injury.1992;23:44–46.

Bostman O., Manninen M., Pihlajamaki H. Complications of plate fixation in fresh displaced mid clavicular fractures. J Trauma. 1997;43:778–783.

Kao F.C., Chao E.K., Chen C.H., Yu S.W., Chen C.Y., Yen C.Y. Treatment of distal clavicle fracture using Kirschner wire and tension band wires. J Trauma. 2001;51:522–525.

Lazarus M.D. Fractures of the clavicle. In: Bucholz R.W., Heckman J.D., editors. Rockwood and Green's Fractures in Adults. 5th ed. Lippincott Williams and Wilkins; Philadelphia: 2001. pp. 1041–1078. [Chapter 26].

Nerrs C.S. Nonunion of clavicle. JAMA 1960;

Mckee MD and Et al- Deficiencies following nonopertative treatement of displaced mid shaft clavicle fracture JBJS 2006;88:35-40.

Chan et al – Clavicle non union 1999;8:287-290.

Constant CR Murley AH: A Clinical method of functional assessment of the shoulder. Clin Orthop, 1987,214;160-4.

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