COMPARATIVE STUDY OF THE OUTCOME OF DISPLACED MID SHAFT FRACTURE CLAVICLE TREATED CONSERVATIVELY AND BY OPEN REDUCTION AND INTERNAL FIXATION(ORIF) WITH PLATE.

Dr Ajith Raj; Dr Prashanth

Volume : VII, Issue : IV, April - 2018

COMPARATIVE STUDY OF THE OUTCOME OF DISPLACED MID SHAFT FRACTURE CLAVICLE TREATED CONSERVATIVELY AND BY OPEN REDUCTION AND INTERNAL FIXATION(ORIF) WITH PLATE.

Dr Ajith Raj, Dr Prashanth

Abstract :

All clavicle fractures do well with nonoperativetreatmen. Such treatment was usually successful and till recently most of the available literature showed that more than 95% of clavicle fractures achieve union with acceptable cosmetic and functional results. �Operative treatment is not only meddlesome but can increase the nonunion rate significantly�, much of this thinking came from the original work of Neer and Rowe et al in the 1960s when operative techniques were variable and not standardized or refined. Typically these early attempts at surgical intervention were complicated by utilization of smooth pin fixation with occasional catastrophic results from pin migration, infection, and nonunion. In our study we compared two accepted treatment modalities of fracture midthird clavicle called open reduction and plating with locking compression plate and conservative treatment with figure of eight clavicle ace in terms of functional outcome as measured by DASH score to find out which is a better treatment option.