Fracture Clavicle Clinical Trial
Official title:
Hook Plate vs Tightrope in Fixation of Fracture Distal Third Clavicle
to compare the clinical & radiological outcomes of hook plate & tightrope fixation in fracture of lateral third clavicle.
Adult clavicle fractures account for 4% to 10% of fractures. Distal clavicle fractures occurs
in 25% to 30% of all clavicle fracture.The management of fractures of the distal clavicle has
been a matter of debate in literature. Neer in 1968 suggested a new classification and
proposed general treatment guidelines . Type I and type III fractures are generally treated
non-operatively. For type II fractures, surgical management is the treatment of choice .There
are numerous operative techniques reported in the past. The methods of surgical treatment
could be summarised as follows:
1. Fixation in terms of K-wires and different pins such as the Steinmann pin, and Knowles
pin. This fixation could also be augmented with concomitant tension band wires
2. Coracoclavicular indirect fixation with the use of screws, suture anchors, Dacron graft
or Mersilene tape
3. Open reduction and clavicular plate fixation with the use of different plate systems
such as the Balser plate,locked plate,hook plate, etc.
Different surgical techniques have their own advantages and disadvantages With more than 20
techniques described so far, no single fixation is ideal and perfect. There is still no
consensus regarding the best surgical method to fix these fracture ,the investigators choose
two of the most common of these methods and evaluate & compare best radiological & clinical
outcomes of both.
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