Abstract: Introduction: Present study was conducted to compare functional outcome and disability following operative and non-operative treatment of completely displaced midshaft clavicular fratures.
Methodology: This hospital based analytical study between sling and plate osteosynthesis for treatment of displaced midshaft clavicle fractures. Inclusion criteria are: patients with middle third clavicular fractures that is completely displaced. Exclusion criteria are: patients with fracture without displacement, patients associated neurovascular injury.
Result: A total of 72 patients of displaced middle third clavicle fractures presenting to our institute were treated by 2 methods. 36 by conservative method (sling) and 36 by operative method (LCP). Mean age of the patient in LCP group was 32.06 + /- 8.86 whereas in conservative group was 29.56 +/- 7.69. Mean time of union for LCP group comes out to be 7.33±0.76 weeks whereas Mean time of union for Sling (conservative) group comes out to be 8.57±1.29 weeks. P value for this association is <0.0001. The mean Constant score for LCP group comes out to be 92.44±1.44 whereas mean Constant score for SLING group comes out to be 88.34±1.92. The P value for this association is less than 0.0001. CONCLSUION: The conservative method of managing un-displaced or severely-comminuted clavicular fracture with brace and sling gave good functional and radiological results.
