K-WIRE AND SCREW FIXATION OF LATERAL END CLAVICLE FRACTURES

BACKGROUND As a known fact, lateral end clavicle fractures are difficult to treat conservatively. Till date various methods of stabilisation of the displaced lateral end factures are in use. Method, which is less invasive and has minimal complication was used to fix these fractures in our study. MATERIALS AND METHODS Study was conducted in Ortho Department, G. M. C., Kannauj; 20 lateral end clavicle type 2 fractures were included. All type 2 lateral end clavicle displaced fractures were included. Fractures were reduced with a small anterosuperior incision. Fractures were fixed by K-wires followed by coracoclavicular screw. Arm was supported in an arm pouch for six weeks. The routine removal of Kwire was performed in six weeks at O. P. D. Clinicoradiological results were studied after six weeks and monthly interval and thereafter until union. RESULTS All 20 fractures were united. There was no loss of reduction even after removal of Kirschner wires at six weeks. The mean average time of union was 9.5 weeks with an SD of 3.5. Patients regained near normal range of motion and the mean average constant score at the end of one year was 98.37 with an SD of 2.87. The range of motion remained the same in those who were followed up. Infection and Kirschner wire breakage were not noted in our series. CONCLUSION The clinicoradiological outcome were encouraging and comparable with earlier studies.