EVALUATION OF CLINICAL OUTCOMES OF ARM SLING VERSUS FIGURE OF ‘8’ BANDAGE FOR PEDIATRIC CLAVICLE FRACTURES

Dr Praveen kumar Pandey; Dr. Rahul kundar

Volume : V, Issue : III, March - 2016

EVALUATION OF CLINICAL OUTCOMES OF ARM SLING VERSUS FIGURE OF ‘8’ BANDAGE FOR PEDIATRIC CLAVICLE FRACTURES

Dr Praveen Kumar Pandey, Dr. Rahul Kundar

Abstract :

<p>&nbsp;Background&ndash; Paediatric clavicle fracture is a very common injury presented to an orthopaedist all over the world. Previously most of the paediatric clavicle fractures have been managed conservatively. Recently there is a surge of surgical management for these injuries as recommended in literature. Materials and methods&ndash; We have conducted a prospective clinical study to compare two modes of conservative management for paediatric clavicle fractures in children aged 4 years to 11 years over a period of 6 months after excluding indications for surgical management as per literature. Total of 75 patients included in the study after consideration of inclusion and exclusion criteria. Group 1 consisting of 38 patients managed with figure of &ldquo;8&rdquo; bandage and group 2 consisting of 37 patients managed with simple arm sling. Mean radiographic and clinical follow up was of 6 months. Results&ndash; Both the groups showed excellent and comparable clinical as well as radiological results at last follow up. But group 2 showed better results in terms of complications, number of days required to get back to his/her routine activities after injury and financial burden to the parents of patient. Conclusion&ndash; We recommend that simple arm sling is a better mode of management for paediatric clavicle fractures which can be managed conservatively</p>