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Original Research Article Background: Till now treatment of displaced middle third clavicle fractures is highly controversial. Clavicle fracture is a very common fracture of human skeleton. Midshaft clavicle fractures accounts more than 80% among total clavicle fractures. Open reduction along with internal fixation with pre-contoured locking plate is a good treatment option for displaced middle third clavicle fracture. We have very few data regarding this issue. Aims & Objectives: The aim of this study was to evaluate the outcome of treatment procedure of displaced middle third clavicle fracture with pre-contoured locking plate. Materials & Methods: This was a prospective observational study which was conducted on 50 patients in Border Guard Hospital, Dhaka, Bangladesh during the period from June 2017 to December 2019. All the participants had displaced middle third clavicle fracture and treated with pre-contoured locking plate. The study was approved by the ethical committee of the mentioned hospital. All necessary data were collected, processed, analyzed and disseminated by MS office and SPSS version 16 program as per need. Results: In this study as complications of this treatment procedure we found, the highest 5 patients suffered from dysesthesia. Then 2, 1, another 1 and 2 patients suffered from superficial infection, plate pullout, plate loosening and hardware irritation respectively. In analyzing the treatment duration for union we found the highest (48%) number of cases taken 11-12 weeks for radiological union. Then 36%, 12% and 4% taken 9-10, >12 and <8 weeks respectively. According to the Constant Murley Score (CMS) as final outcome we found maximum patients got ‘Excellent’ result which was 66% and the rest 34% got ‘Good’ result. Conclusion: Comparatively open reduction and internal fixation with precontoured locking plate is a good option for displaced midshaft clavicle fracture. It ensures immediate pain relief, early return to work and prevents complications like non-union, mal-union and shoulder stiffness. It provides strong fixation due to locking between the screw and plate, and blood supply preservation due to minimal contact between plate and cortical bone. In this study the main indications for surgery were displacement, shortening and comminution.

scholars journal of applied medical sciences

Treatment of the Displaced Middle Third Clavicle Fracture with Pre Contoured Clavicular Locking Plate: Study in Border Guard Hospital, Pilkhana, Dhaka, Bangladesh