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Indian Journal of Orthopaedics Surgery


OUTCOME OF SURGICAL AND CONSERVATIVE MANAGEMENT OF FRACTURES OF THE MIDDLE-THIRD OF THE CLAVICLE


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Author Details: Ramesh Krishna, Yathiraj, Aaditya K Mongia

Volume : 1

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 87

Article End Page : 92



Abstract

Introduction: Clavicular fractures are common injuries, accounting for 2.6% of all fractures. Fractures. This study aims is to determine the rate of union in mid-third clavicular fractures treated by non-operative methods and by clavicular plating, to determine the complications involved in management of mid-third clavicular fractures and to compare the functional outcomes of mid-third clavicular fractures treated by non-operative methods and by clavicular plating.

Methods: In our study, for the operative group we used 3.5 mm reconstruction plates, 3.5 mm superior locking plates, 3.5 mm LC-DCP and 1/3 tubular plate . All plates were superior in position. Circlage was done where necessary. Lag screws were used in indicated cases for fracture compression. Nonoperative management was by treatment in a sling or a figure of eight harness. Functional results were evaluated by DASH scores. Independent student ‘T’ test was used for statistical analysis.
Results: In the non-operative group, 75% cases united, while 25% went on to non-union. A mean DASH score of 21 was obtained. In the Operative group, 90% union rate was found. A mean DASH score of 11 was obtained. Operative
Conclusion: From our study we conclude that further study is required to clearly delineate which method of treatment is better. Operative management is beneficial to the patient for early mobilization and early return to daily activities with better Functional outcome. But the complications may increase the reintervention rate.

Keywords: LC-DCP, Clavicular Brace, DASH, Reintervention Rates.