Technique of minimally invasive plating in mid clavicular fractures and its results

Abstract

Aim: In this study we wanted to study the technique and pitfalls in minimally invasive plate osteosynthesis technique for displaced midshaft clavicular fractures (DMCFs) and assess its outcome.Materials and Methods: The proposed study is a prospective non randomized control study on the management and treatment of clavicle fractures centered in K.R Hospital attached to the Government Medical College and research institute, Mysore during the term between January 2019 to December 2019.A Total of 31 Cases of Patients underwent internal fixation by MIPO using Pre-contoured locking compression plate. Patients were functionally assessed at the end of follow up period as per the CONSTANT MURLEY Shoulder outcome scoring system.Results: Out of 31 patients, 87.1% of patients were below the age of 40years in our study with Males (87.1%) and Females (12.9%). Most of the patients were operated within 3 days and Right sided fractures were more common than left sided (54.8% vs 45.2%).Average time of union was 13 weeks. Most of the cases did not have any complications except for hypertrophic scar in 2 patients, implant prominence in 3 patients, superficial infection in 1 patient.Conclusion: Closed biological fixation using MIPO technique with locking Pre-contoured plate can preserve the blood supply of the fracture site and minimize soft-tissue related complications. Although it needs surgical expertise and proper technique for better results. MIPO technique with locking reconstruction plate is a feasible and worthwhile alternative for DMCFs.