Mohamed Faheem Kotekar1, Shailesh Pai2, K Yogesh2, M Ajith Kumar2, M Shantharam Shetty2. 1. Department of Orthopaedic Surgery, Tejasvini Hospital & SSIOT, Kadri Temple Road, Kadri, Mangalore, Karnataka, 575003, India. mohamed.faheem20@gmail.com. 2. Department of Orthopaedic Surgery, Tejasvini Hospital & SSIOT, Kadri Temple Road, Kadri, Mangalore, Karnataka, 575003, India.
Abstract
BACKGROUND: Fractures of the clavicle are traditionally treated non-operatively, but with the increase of high-energy trauma, there has been an increase in the operative management of these fractures. Controversy exists on the type of fixation for middle third clavicle fractures. The anatomically pre-contoured plates are low-profile mechanically sound plates which do not cause much soft tissue irritation. METHODS: To characterise the clavicular morphology through computerised tomography and determine the applicability of pre-contoured plates for our population. RESULTS: In this study, the mean total length was 145.31 mm and the apex of superior clavicle bow was located 38.15 mm from the acromial end, thereby giving a zone of 107.16 mm for plating. In the 107.16 mm of platable zone, the zone of ideal fracture location was 43.16 mm. Superior anterior plates had a good fit in 89.3% of the CT subset, whereas superior plates had a good fit in only 71.6% of the population. CONCLUSION: Superior anterior pre-contoured clavicle plates have approximately 98% good to fair compatibility for clavicles in the South Indian population without any need for further intra-operative moulding.
BACKGROUND:Fractures of the clavicle are traditionally treated non-operatively, but with the increase of high-energy trauma, there has been an increase in the operative management of these fractures. Controversy exists on the type of fixation for middle third clavicle fractures. The anatomically pre-contoured plates are low-profile mechanically sound plates which do not cause much soft tissue irritation. METHODS: To characterise the clavicular morphology through computerised tomography and determine the applicability of pre-contoured plates for our population. RESULTS: In this study, the mean total length was 145.31 mm and the apex of superior clavicle bow was located 38.15 mm from the acromial end, thereby giving a zone of 107.16 mm for plating. In the 107.16 mm of platable zone, the zone of ideal fracture location was 43.16 mm. Superior anterior plates had a good fit in 89.3% of the CT subset, whereas superior plates had a good fit in only 71.6% of the population. CONCLUSION: Superior anterior pre-contoured clavicle plates have approximately 98% good to fair compatibility for clavicles in the South Indian population without any need for further intra-operative moulding.
Entities:
Keywords:
Clavicle; Fractures of the clavicle; Pre-contoured plating
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