Abstract: Objective: To compare functional outcome of Operative versus Non operative management of fracture clavicle.
Method: 30 cases of fracture clavicle mid-shaft fracture treated with conservative methods (Figure of eight, Clavicle brace) and operative methods (K-wire, Plating).Out of these, 15 cases in GROUP A underwent Conservative management and 15 cases in GROUP B operative management. Meticulous follow up was done to get data for the study.
Observations: In our study we found that constant shoulder functional score at final follow was more than 79 in GROUP A, and more than 89 in GROUP B. This value was statistically significant (p < 0.05). There were 9 cases (60%) in GROUP A and 14 cases (93.3%) in GROUP B whose constant score was in interval between 90-100. There was 1 case (6.66%) in both GROUPS who had there constant score in the interval between 80-89. There were 5 cases (33.3%) in GROUP. A who had there constant score in interval between 70-79. The mean constant score in GROUP A was 86.87 with SD of 6.44 and in GROUP B mean was 94.7 with SD OF 2.12. The p value was statiscally significant (p< 0.001). Result: Conservative treatment is associated with increased incidence of shortening, malunion .Operative treatment is an effective alternative to conservative treatment of fracture mid-shaft clavicle, as it has comparable results in terms of union rate and complication.
