Summary

This Study shows that MIPO plating and Open Plating are equally beneficial to the Patient in Functional gain point of view. But MIPO Groups has minimal scarring where as Open Plating leaves the patient with a big scar. So for Good Cosmosis and Good functional outcome MIPO Plating can be considered.

Abstract

COMPARITIVE STUDY OF CLAVICLE FRACTURE FIXED WITH MIPPO FIXATION V/S OPEN REDUCTION

ABSTRACT

Introduction

The Treatment of clavicle Fracture though there are many treatment modalities , each has there own advantages and limitations. Variable treatment options of clavicular shaft fracture, including conservative method , open plating, and intramedullary fixation, have been reported with good clinical outcomes.There is a delay in Functional resumption in Nonoperative Groups with low functional capability.Thus Operative Treatment is considered for early mobilization and good functional gain but Open Plating has given scarring in the Exposed part of the Trunk.Thus there is a need for MIPO Fixation Method of Plating of Clavicle which has good Function and Less scarring , so good Cosmetic Look.

Materials And Methods

40 Patients were selected for the study for the period of May 2019 to Aug 2021 and were each created to two groups ,MIPO Group ,Open Fixation Plating Group each with 20 Patients in that group.Both Group were operated and followed up for 6 months.They were assessed for union time and Functional Outcome by Constant-Murley Scores.Outcomes were correlated with two different groups statistically and interpreted.Complications were assessed and compared with these two groups.

Results

MIPO Group has a mean Constant Score of 96.4 Points which was very good functional Outcome.Open Reduction Fixation Group has a mean score of 91.2 points which was very good functional outcome but little less than that of MIPO Group. In MIPO Group there was minimal Scarring with almost equal functional end result as that of Open Plating group.

Conclusion

This Study shows that MIPO plating and Open Plating are equally beneficial to the Patient in Functional gain point of view. But MIPO Groups has minimal scarring where as Open Plating leaves the patient with a big scar. So for Good Cosmosis and Good functional outcome MIPO Plating can be considered.

Keywords:
Clavicle Fractures,MIPO ,Open Reduction Internal Fixation,Constant-Murley Score