Functional Outcome After Open Reduction Internal Fixation (ORIF) Clavicle Using 1/3 Semitubular Plate

Syed Danish Ali, Khan shah Azam, Ghazanfar Ali Shah, Syed Muhammad Iqbal, Bassil Azam

ABSTRACT

Objective: To evaluate the functional outcome of ORIF clavicle using DASH score

Methods: This is a retrospective study of prospectively collected data. Patients presented to the Orthopedic Surgery department of TO Clinic from June 2015 till June 2017 with clavicle fracture investigated by clinical and radiological examination who meet the inclusion criteria were treated with open reduction and internal fixation using 1/3 semitubular plate. All patients were operated under general anesthesia. Polysling was applied postoperatively for 4 weeks. Shoulder range of motion was started from 3rd week postoperatively. 6 months after surgery all patients were given a questionnaire to assess their postoperative results using DASH score

Results: 24 patients were enrolled in this paper and more than 90 percent of patients were males. 1 patient didn’t complete the study, as he didn’t come in the followup. Right clavicle fracture was seen in 20(83.33%) patients while left clavicle fracture was seen in 8(33.33%) patients. The dominating mechanism of injury was fall on shoulder, 22 patients (91.6%). Most of the patients were aged below 40 years, (75%) 18 patients. The average DASH score of patients was 88 (fair to good) .One patients (4.1%) had superficial infection, which resolved with oral antibiotics. Two patients (8.3%) had another fall after surgery, which required redo ORIF. One patient (4.1%) had prominent implant pain, which resolved with pain killers.

Conclusions: We conclude that ORIF Clavicle using 1/3 semitubular plate is a reliable method for clavicle fixation achieving fair to good functional outcome at 6 months after surgery

 

Keywords: ORIF, 1/3 semitubular plate DASH score