A COMPARATIVE STUDY BETWEEN DIFFERENT MODALITIES OF TREATMENT OF FRACTURE LATERAL END OF CLAVICLE

Dr. Abhijeet Shroff; Dr. Jay Janakbhai Patel; Dr. Sumeet Kumar; Dr. Anant Krishna; Dr. Anirudh Kumar Singh Kandari

Volume : VI, Issue : VII, July - 2017

A COMPARATIVE STUDY BETWEEN DIFFERENT MODALITIES OF TREATMENT OF FRACTURE LATERAL END OF CLAVICLE

Dr. Abhijeet Shroff, Dr. Jay Janakbhai Patel, Dr. Sumeet Kumar, Dr. Anant Krishna, Dr. Anirudh Kumar Singh Kandari

Abstract :

Introduction: Fractures of the clavicle is one of the most common injures of human skeleton. It has been traditionally treated non-operatively. The present study was undertaken to compare the results between fractures treated conservatively and surgically. Methods: Fifty adult patients with clavicular fractures (Robinson Classification Type 3B)were included in this study. 27(group-1) lateral end clavicle fractures, were fixed with reconstruction plate & screws, K-wires and TBW and 23(group-2) Type 3B were treated conservatively with shoulder arm pouch and immobilizer. Results: In Group-1, 27 fractures united at 6-10 weeks. 1 patient had a superficial infection, 2 had hypertrophic scar and 2 patients had an implant eakage and 1 patient had restriction of shoulder range of motion (< 120� forward flexion). In Group-2, 12 fractures united at 12 weeks, 8 had nonunion, and 3 had delayed union. 7 patients had malunion with visible external deformity. 7 patients had restriction of shoulder ROM (<120� forward flexion) 5 improved over a period of 6 months after vigorous physiotherapy and 2 had continued restriction. The functional outcome according to Constant and Murley score after fracture union were excellent, good and fair in 22, 3 and 2 patients respectively in group-1, while 13, 7 and 2 patients in group-2. Conclusion: This study shows rigid fixation for fresh lateral end clavicle fracture gives immediate pain relief, prevents the development of shoulder stiffness and non union and is cosmetically more acceptable.