Vol. 6, Issue 2 (2020)
Comparative study of surgical management versus conservative management of displaced fractures of the clavicle
Author(s):
Dr. Abhijeet Salunkhe, Dr. Arun HS, Dr. Manohar PV and Dr. Nagakumar JS
Abstract:
Back ground and objectives: Clavicle fracture accounts for approximately 2.6% of all the skeletal fractures. These fractures are often associated with shoulder girdle injuries in approximately 44% of cases. Non operative treatment has been a mainstay of a modality of treatment, and irrespective of the type of fracture and amount of comminution, all these fractures were treated non-operatively. Different surgical methods for clavicle midshaft fractures have been described and these are locking compression plate fixation, intramedullary K-wires, Steinmann pin fixation, and intramedullary nailing with TENS.
Therefore in this study we have compared the functional outcome of displaced clavicle fractures treated by non-surgical management with that of surgical management by TENS and by open reduction and internal fixation with clavicular locking compression plate.
Methods: 60 patients with clavicle fractures presenting to the Orthopaedic Department of R L Jalappa hospital from Nov. 2017 to April 2019 are included in the study after obtaining informed consent.
Result: Among 60 patients with clavicle fractures, majority of the injury occurred in male patients- 45 cases (75%), whereas a total of 15 cases (25%) were seen in females. The functional outcome at the end of 6 months in 30 conservatively managed cases showed, 4 cases (13.3%) with excellent outcome; 6 cases (20%) had good outcome. 16 cases (53.3%) had fair and 4 cases (13.3%) had poor outcome. While in surgically managed 30 cases, the functional outcome at the end of 6months showed a total of 23(76.6%) cases with excellent outcome, 4 cases (13.3%) had good outcome 2 cases (6.6%) had a fair, and 1 case (3.33%) had poor outcome. At the end of 6 months, functional outcome of both the groups were compared by applying chi square test, the p value was <0.001, showing the results, statistically significant. Thus, in our study operative group had fewer complications, early bony union and better functional outcome as compared to the conservative group.
Conclusion: This study concludes that irrespective of surgical modalities of management used, surgically treated cases have better functional outcome, fewer complications, early bony union and better overall patient satisfaction.
Pages: 555-558 | 1992 Views 640 Downloads
How to cite this article:
Dr. Abhijeet Salunkhe, Dr. Arun HS, Dr. Manohar PV and Dr. Nagakumar JS. Comparative study of surgical management versus conservative management of displaced fractures of the clavicle. Int. J. Orthop. Sci. 2020;6(2):555-558. DOI: 10.22271/ortho.2020.v6.i2i.2097