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Indian Journal of Orthopaedics Surgery

Analysis of Functional Outcome of Conservative versus Surgical Management by Plating in Mid-Third Clavicle Fractures

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Author Details: Biswajit Sahu, B.N.Mohapatra, Dillip Kumar Chand

Volume : 3

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 128

Article End Page : 134


Displaced middle third clavicle fractures have always posed a therapeutic challenge to the orthopaedic surgeons. Incidence of these fractures varies from 2.6–4% in adults. Majority (about 80%) of the clavicle fractures occurs in middle third. Despite this high numbers, proper treatment is still controversial. The aim of this study is to evaluate the rate of union in mid-third fractures of the clavicle treated by non-operative methods and by clavicular plating, to determine the complications and to Compare the functional outcomes of displaced fracture of the middle third of clavicle treated with non-operartive and surgical management by plating .This is a prospective study in which 50 cases of displaced mid-shaft fractures of clavicle were treated randomly. 25 cases were operated with internal fixation by plate osteosynthesis and 25 patients were followed with conservative management. Functional evaluation was conducted at regular interval with the use of the constant murley scores. Union was evaluated clinically and radio graphically. In the non-operative group 21 cases (84%) united, while 4 cases (16%) went on to non-union and the mean constant score was 84.48±7.8. In the Operative group, 96% union rate was found and the mean constant score was 93.72. To Conclude, Excellent functional outcomes, earlier return to daily activities, decrease incidence of nonunion can be achieved with surgical management of displaced clavicle fractures compared with non-operative treatment.

Clavicle, ORIF, Constant and Murley Score, Plating