FUNCTIONAL OUTCOME OF CONTOURED ANATOMICAL PLATE FIXATION FOR ACUTE DISPLACED MIDSHAFT FRACTURE CLAVICLE

BACKGROUND: This prospective study was done to evaluate the effectiveness of implants i.e., anatomical pre contoured dynamic compression plate in treatment of displaced mid shaft clavicular fractures. MATERIALS AND METHODS: fifty patients between 18 and 65 years of age were included in this study. They were treated by fixation with anatomically pre contoured dynamic plate and functional outcome was assessed. Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of over 2 years of follow-up time were compared. RESULTS: Range of motion was well maintained in all the patients. Constant score was excellent in 44 patients (88%) good in 4 patients (8%) and fair in two patients (4%). No patients had a poor result on constant scoring. The mean time to union was 6.8 months. CONCLUSION: In this prospective cohort study, primary open reduction and internal plate fixation of acute displaced mid shaft clavicular fractures resulted in improved outcomes and a decreased rate of nonunion and symptomatic malunion.