A study on post operative complications in management of fracture of clavicle

Abstract

The majority of clavicular fractures (80% to 85%) occur in the midshaft of the bone, where the typical compressive forces applied to the shoulder and the narrow cross section of the bone combine and result in bony failure. Patients were clinically examined; first aid was given in the form of, cuff and color sling, analgesics, antacids and was subjected to A-P view, Lardotic view radiograph of full length clavicle to decide the plan of definitive management. If needed CT scan and MRI were also taken. Those requiring surgery were classified as per Allman classification and investigated for fitness for anesthesia and surgery. Six patients had associated skeletal injury three patient had fracture ribs, two had fracture femur one had polytauma (fracture right clavicle, left ulna, right femur). Five cases had CCI (crainio-cervical injury) Most of the cases had no other associated injuries.no associated neurovascular injury were noted. Overall plate had more intra op and post op complications like more blood loss, more operative time, superficial infections, deep infections, implant protuberance, ugly scar, difficult implant removal than TENS fixation. In this study nonunion was equal in both TENS and plate fixation groups.