Outcome of surgical management of clavicle shaft fracture in adult

Background: Traditionally treatment clavicle fracture has been via non-operative methods in both children and adult. But the management in the adult remains controversial in terms of displacement, comminution, malunion, cosmetic deformity, functional deficit. Such subsets of patients can be optimally treated by open reduction and internal fixation with plate and screws.
Objective: To study the outcome of middle third clavicle fracture treated with plating and screws in terms of functional Scoring of Constant and Murley.
Method: In this hospital based, interventional, prospective study conducted at Morang Sahakari Hospital, Biratnagar, Nepal from October 2022 to July 2024, 31 patients with middle third clavicle fracture satisfying all the inclusion criteria were treated by open reduction and internal fixation with plate and screws.
Result: There were 31 patients, 28males and three females aged from 17 years to 45 years old with mean age 30.65±7.09. Most of them sustained injury in RTA and were closed type of fracture and nine had associated injuries. Most of the fractures united by 17 weeks.The average Constant and Murley score was 93.38 and patients were satisfied with the treatment.
Conclusion: This small series shows that selected patients of displaced middle third clavicle fracture can be treated with operative reduction and internal fixation using plate.