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KMID : 0950120060050010063
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Jouranl of Korean Orthopaedic Sports Medicine
2006 Volume.5 No. 1 p.63 ~ p.68
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Operative Treatment of Fractures of the Midshaft Clavicle using Locking Compression Plate
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Chung Nam-Sik
Sim Jae-Chun
Hong Ki-Do
Ha Sung-Sik
Park Sung-Joon
Kang Jung-Ho
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Abstract
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Purpose: To assess the effectiveness of the Locking compression plate (LCP) after open reduction for the treatment of the displaced clavicular shaft fracture, the clinical and radiologic outcome of the patients who were managed with the LCP for internal fixation after open reduction has been analyzed.
Materials and Methods: We reviewed 26 cases with a displaced clavicular shaft fracture treated by internal fixation using Locking compression plate after open reduction between May 2003 and November 2004. The patients were followed up for at least six months period, and final postoperative outcome was evaluated using clinical results based on Kang’’s criteria, radiologic signs of fusion.
Results: All fractures united by an average of 9.3 weeks without delayed union and showed fast recovery of motion fraction and shoulder function. In addition,24 cases without the fractures of proximal humerus recovered to normal range of shoulder notion within 2.9 weeks. Clinically, according to Kang’’s criteria, the outcome was good or better in 22 patients. The complications included shoulder joint dysfunction in two cases and keloid formation in one case, and no other complications were observed.
Conclusion: The internal fixation using LCP for the treatment of displaced clavicular shaft fracture is a safe, reliable method of treatment, with few complications, and offers rapid recovery of shoulder joint function and bone union.
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KEYWORD
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Clavicular shaft fracture, open reduction, Locking compression plate (LCP)
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