K-wire fixation and clavicular hook plate fixation in the treatment of unstable fractures of the distal clavicle
DOI:
https://doi.org/10.61841/fdpq9h90Keywords:
Clavicular hook plate,, Distalclavicular fractures, K-wire fixationAbstract
Background: Unstable fracture of the distal clavicle is usually accepted as an indication for surgical treatment. The present study was conducted to compare K-wire fixation and clavicular hook plate fixation in the treatment of unstable fractures of the distal clavicle.
Materials & Methods: 68 fractures of the distal clavicle patients of either gender were classified into batches of 2 containing 34 patients each. Group I patients were treated with K-wire fixation and group II with clavicular hook plate fixation. Shoulder function was evaluated with the Constant-Murley scoring system.
Results: In group I and group II, mode of trauma was RTA in 15 and 18, fall in 12 and 10, sports injury in 7 and 6, side affected was dominant in 25 and 22 and non- dominant in 9 and12. Associated injuries were present in 14 and 16 and absent in 20 and 18. The mean L’ Insalata score in group I patients was 90 and in group II was 91, constant score was 85 in group I and 89 in group II. Complications found were infection in 4 in group I and 2 in group II, loss of reduction 2 in group I and 1 in group II and non- union1 in group I. The difference was significant (P< 0.05).
Conclusion: Management of distal clavicular fractures with clavicular hook plate found to be better as compared to K-wire fixation.
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References
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