“…5,7 The introduction of anatomically contoured clavicle locking plates has reduced the need for plate removal. 8 The aim of our study is to analyze the results of internal fixation of displaced fractures of middle third of clavicle with precontoured locking plate and screws. 2.…”
“…5,7 The introduction of anatomically contoured clavicle locking plates has reduced the need for plate removal. 8 The aim of our study is to analyze the results of internal fixation of displaced fractures of middle third of clavicle with precontoured locking plate and screws. 2.…”
“…[16] The recent introduction of anatomically contoured clavicle plates may reduce the need for hardware removal. [17] In our study primary fixation of clavicle was done by anatomically contoured plates. Functional outcome was excellent in 87% of cases.…”
Variations in the arterial pattern of the upper limb are very common as observed in many cadaveric and angiographic studies. Knowledge of variations in the origin and course of the radial artery is important because they are used for many diagnostic procedures as well as vascular and reconstructive surgeries like coronary angiography, percutaneous coronary intervention and coronary artery bypass surgery. During routine dissection in our institute, we observed a case of high origin of the radial artery in a 33 year old male cadaver. It was found to be unilateral; on left side, radial artery was taking origin from 3 rd part of the axillary artery at the lower border of pectoralis minor before the origin of subscapular artery and anterior circumflex humeral artery. It had a superficial course in the arm crossing the median nerve from medial to lateral side. The further course of this superficial radial artery in the forearm was normal and it terminated by forming a deep Palmar arch in hand. These variations may be of great clinical implications for vascular and plastic surgeons and radiologists. Superficial course of radial artery makes it vulnerable to accidental injuries and elevates the risk of bleeding.
“…The results showed that the plate fitted the S-shaped contour of the superior surface of the clavicle in majority of the cases. Huang et al study concluded that the plate was adequately shaped for fixation of fractures in the medial three-fifths of clavicles [23] . In our study we found that the plates could be reversed and used for the contralateral side which actually provided an increased range of choice.…”
Section: Post-operative Images-restoration Of Length Discussionmentioning
Deformity following un-united and mal-united adult clavicle fractures is being increasingly recognised as the indications for operative treatment of displaced fractures of the clavicle. Various options include low contact dynamic compression plates, which are strong, but difficult to contour and cause soft tissue irritation. Recon plates are easier to contour, but lack sufficient mechanical strength. Anatomical Precontoured locking plates are now available, matching the shape of the adult clavicle. The purpose of this study is to assess the clinical and radiological outcome of a pre-contoured clavicle plate in the treatment of acute, displaced, mid-shaft clavicle fractures. This study presents the results of 26 patients treated with an anatomical congruent clavicle plate for acute displaced, mid-shaft fractures of the clavicle at a tertiary referral centre. All patients were managed with a precontured clavicle plate. The fracture united in all cases with no complication and high patient satisfaction on the Disability of the Arm and Shoulder (DASH) score and Pain Visual analogue score (VAS). The results were compareble with other published studies, and the pre contured clavicle plate represents one of the best operative management of these fractures.
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