A Study of comparison between Operative versus NonOperative Treatment for Clavicle Fracture

Dr Rajendra Singh Topwal; Dr Susheel Kumar Pathak

Volume : V, Issue : VII, July - 2016

A Study of comparison between Operative versus NonOperative Treatment for Clavicle Fracture

Dr Rajendra Singh Topwal, Dr Susheel Kumar Pathak

Abstract :

Background: Clavicle fractures account for 5–10% of all the fractures in the body. Earlier the treatment of choice was conservative which lead to high rates of mal–union and non – union. Objectives: To compare benefits and implication of conservative versus operative management in Clavicle Fracture. Material and Methods: It was a 6 months prospective study in which 50 patients were enrolled and divided into two groups. In one group 25 cases of clavicular fracture were managed conservatively whereas in the other group of 25 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 50 patients were enrolled. Of them 35 (70%) had middle third clavicle fracture and 15 (30%) had lateral third clavicle fracture. In conservative group, union was observed between 13 to 16 weeks in 80% patients whereas in operative group union was seen in less than 12 weeks in 88% patients. In conservative group malunion was observed in 36% patients and delayed union in 40% patients. In operative group hypertrophic scar was observed in 20% patients and plate prominence in 12% cases. Delayed union was observed in two case due to underlying bone pathology and plate loosening. Conclusion: Operative treatment scored over conservative treatment as the former provided a significantly lower rate of nonunion and symptomatic malunion and earlier return of normal function.