COMPARISON OF PLATE OSTEOSYNTHESIS WITH INTRAMEDULLARY FIXATION IN TREATMENT OF DISPLACED MID SHAFT CLAVICULAR FRACTURES

Volume : VIII, Issue : IV, April - 2018

Arunim Swarup, Avinash Rastogi, Jatin Bansal, A. S. Dube

Introduction Fracture of the clavicle are common and account for 5–10% of all fractures. Majority of clavicular

fractures (70–80%) are located in the mid–diaphyseal region. The treatment choices available are conservative or

operative viz. plate fixation or intramedullary nail fixation.

Aims and Objectives The objective of this study is to asses the outcome and functional results of adult Displaced mid shaft clavicular fractures

treated by closed or open intramedullary nail and to compare the results with open reduction with plate fixation.

Material and Method A total number of 64 patients were included from 2013 to 2016 out of which 30 patients were managed by plating and in

remaining 34 patient by intramedullary fixation. We evaluated the results in terms of length of incision given, surgical time taken, union time

taken, and functional ability in terms of Constant score and DASH score.

Result Average mean time taken for clinico radiological union was (10–14 weeks) in both the groups . The implant irritation was observed 36%

in the plating group and 14.1% in the nailing group. The length of incision and surgical time was more in the plating group as compared to nailing

group. There was a more rapid improvement in both the DASH scores and Constant Murley scores in both the groups.

Conclusion Intramedullary nail has a longer union time but it is beneficial in terms of shorter surgical time, smaller incision, minimal chance of

supraclavicular nerve injury and similar functional outcome as of plate in terms of Constant– Murley and DASH score.