Comparison of Conservative versus Operative Management in Clavicle Fracture

Volume : V, Issue : IV, April - 2015

Dr. Maulik Patel, Dr. Sanjay Patil, Dr. Vilas Jog, Dr. Mohit Gupta

Objective: To compare benefits and implication of conservative versus operative management in Clavicle

Fracture.

Method: In the present study 30 patients were enrolled and divided into two groups. In one group 15 cases of clavicular

fracture were managed conservatively whereas in the other group of 15 cases were treated surgically. Regular follow was

done at every four weeks. Patients were looked up for any complication and duration required for union.

Results: In present study 30 patients were enrolled. Of them 24 (80%) had middle third clavicle fracture and six (20%)

had lateral third clavicle fracture. In conservative group, union was observed between 13 to 16 weeks in 73.33% patients

whereas in operative group union was seen in less than 12 weeks in 80% patients. In conservative group malunion was

observed in 26.67% patients and delayed union in 33.33% patients. In operative group hypertrophic scar was observed

in 20% patients and plate prominence in 13.33% cases. Delayed union was observed in one case due to plate loosening.

Conclusion: Operative treatment provided a significantly lower rate of nonunion and symptomatic malunion and earlier

functional return