Clinical and radiological outcome of three treatment modalities for fracture clavicle: A comparative prospective study
Background: The present treatment trend for fracture clavicle is fast changing from conservative treatment previously and is having a paradigm shift towards open reduction and internal fixation with a plate/intramedullary (IM) fixation. Methods: Ninety patients between 30 and 60 years of age with fr...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-11-01
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| Series: | Journal of Clinical and Scientific Research |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jcsr.jcsr_152_23 |
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| Summary: | Background:
The present treatment trend for fracture clavicle is fast changing from conservative treatment previously and is having a paradigm shift towards open reduction and internal fixation with a plate/intramedullary (IM) fixation.
Methods:
Ninety patients between 30 and 60 years of age with fresh closed, displaced midshaft clavicular fracture and fit for surgery were randomised to receive either conservative (non-operative) treatment (n = 30) or primary open reduction and plate fixation or IM fixation (n = 30).
Results:
The mean age of the patients was 32.5 years. Union at the fracture site in nailing clavicle in <12 weeks was evident in 80% patients (66.6% and 53.3% in plating and conservative method). The complication rate was maximum in the conservative method (63.3%), followed by plating (36.6%) and least in nailing clavicle (29%). The disabilities of the arm, shoulder and hand score at 1 year was the best in nailing (n = 8), followed by plating (n = 12) and then the conservative method (n = 27). The Constant–Murley score at 1 year was also the best in nailing (nailing 94.5 [excellent], plating 92.7 [excellent] and conservative 70 [good]).
Conclusions:
The titanium elastic nailing system provides stable fixation, faster union and better functional outcomes in patients with fracture of the clavicle. |
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| ISSN: | 2277-5706 2277-8357 |