Clavicle fractures are quite common and account for 2.6 percent to 5 percent of all fractures in adults. Midshaft injuries comprise of around 75 percent of all types of Clavicle fractures. Fracture to clavicle bone are caused sometimes when an axial load is applied to the bone, normally in the form of a instant point load to the shoulder apex. Once these fractures displace, the proximal fragment is often pulled superiorly by the sternocleidomastoid muscle whereas the distal fragment is pulled laterally by the arm weight. Mostly minimally displaced clavicular or nondisplaced fractures may be managed non-surgically just by placing the arm in a sling. In these cases, the nonunion and malunion rates are very low.
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However, once midshaft clavicular fractures exist with total displacement or noteworthy shortening, the nonunion risk is significantly more with conservative management. Presently, the only absolute indications for surgical treatment of clavicular fractures involve open fractures and injuries related to evolving skin compromise. Relative signs for internal fixation and open reduction of midshaft clavicular fractures involve injuries with 15 to 20 mm of shortening, fractures with vital comminution, totally displaced fractures, floating shoulder injuries that include painful non-unions, a concomitant glenoid neck fracture, and midshaft clavicular fractures in some cases of the multisystem trauma.
Depending on fracture morphology, either closed or open reduction and intramedullary orthopaedic pin fixation or open reduction and bone plate fixation may be done. Biochemically, both methods offer same repair strength for middle-third clavicle fractures. All above products can be provided from Orthopedic Implants Manufacturers In India. After removal of hardware, clavicles before treated with intramedullary fixation were revealed to be stronger than those treated with bone plate fixation. Clinically, open reduction and internal fixation of clavicular fractures have revealed marked success for the union in a relatively predictable time frame with low complications.
Intramedullary fixation provides the advantage of smaller scars and lower refracture possibility but also bears the potential risk of hardware prominence and a little greater occurrence of nonunion. Universal principles for a successful surgical consequence involve minimizing soft tissue disruption and periosteal stripping as much as possible while exposure, attaining an anatomic reduction, and preventing wound problems and hardware irritation as much as possible with proper soft tissue hardware coverage. Either dynamic compression plates (DCP) or locked plating constructs can be utilized, depending on bone quality and type of fracture. In general, the orthopedic bone plate is positioned on the anteroposterior, or tension side, of clavicle to end in the most biochemically sound construct.
Siora Surgicals Pvt. Ltd. is a top Trauma Implants Manufacturer In India offers locking anterior clavicle plate ‘S’ shape for treatment of Clavicle fracture. It also has a range of Orthopedic instruments for carrying out Orthopedic surgery.
