Treatment of clavicle fracture using wise lock clavicle hook plate and wise lock superior anterior clavicle plate

Abstract

INTRODUCTIONClavicle fractures are common in adult population, due to thin structure and super facial location of the bone. With less protection from muscle or fat, 69-82% of midshaft clavicle fractures occurs due to the slightly curved nature of the middle third and lack of articular support through muscles and tendons. 1 While the medial-end clavicle fractures are rare and make up only 2%-10% of all clavicle fractures, this type of fracture is usually caused by direct, high-energy trauma such as bike crash and also secondary to a fall, aggression or firearm wound. 2,3 Based on the anatomy, clavicle fracture are classified in to three parts (a) clavicle, proximal (medial) end segment (b) clavicle, diaphyseal segment and (c) clavicle, distal (lateral) end segment. 4The location of the fracture, along with degree of displacement and association of surrounding structures, is important to consider for treatment. There are two primary categories for treatment of clavicle fracturesoperative and non-operative. Non-operative, or conservative treatment involves immobilization using a sling or brace, whereas operative management can ABSTRACT Background: Clavicle fracture is common in adults associated with high non-union rate and post-operative complications. The aim of this prospective study was to reduce the postoperative complications in clavicle fracture (Type 15-A2 and 15-B1) by using wise lock plates (manufactured by Auxein Medical Private Limited). Methods: In this prospective study of 25 patients (11 patients had 15-A2 fracture, 14 patients had 15-B1 fracture) recruited with one year follows up period followed by physical exercises after one month of the surgery. The fractures were treated with two different plates: 3.5 mm wise lock clavicle hook plate and 3.5 mm wise lock superior anterior clavicle plate. X-ray was used to check the union, non-union. Functional outcome of the patients were assessed by the visual analogue scale (VAS) score at post-operative follow up at 4 weeks, 12 weeks, 6 months and 1 year. Results: Postoperative outcome was good with none of the patients showing non-union or delay in the union of fracture site. The encountered complication registered were residual pain which was mild (4 cases), and hypoesthesia (2 cases). Conclusions: Osteosynthesis of clavicle fracture with 3.5 mm diameter locking plates attributed as superior, anterior and hook plating system showed excellent results with low rate of complications.

Clinical efficacy of the radius bone plates for the fixation of radius bone fractures

“…1 Some of the most common direct, low energy trauma such as a car crash can be held accountable for radial fractures. 2 Around 8% to 15% of the adults report injury to the radial area. It is considered to be second to the hip fractures, which is the most common fracture bone in the elderly.…”