COMPARATIVE STUDY OF FUNCTIONAL OUTCOME OF OPERATIVE AND NON-OPERATIVE TREATMENT IN MIDSHAFT CLAVICLE FRACTURES.

Corresponding Author:
Dr. R. Sahaya Jose,
119-Jose Bhavan, Puthukudieruppu, Nagercoil-629001.
Kanyakumari, Tamil Nadu, India.
E-mail: drjose07@yahoo.co.in

ABSTRACT: Clavicle is one of the commonest bone, which gets fractured. In which, midshaft fractures account for 80 percent of all clavicle fractures when compared to lateral and medial third clavicle fractures. The surgical indications for midshaft clavicle fractures are controversial. Controversy exists over management of midshaft clavicle fractures with substantial displacement and shortening (>1 to 2cm). Although most displaced midshaft clavicle fractures will unite, studies have reported shoulder dysfunction and patient dissatisfaction with the resulting cosmetic deformity. In our study, we have compared and evaluated the short-term functional outcome of patients who has been treated operatively and non-operatively for midshaft clavicle fractures using Constant and Murley Scoring system. Ours is a prospective, non-randomised, case-control study of 28 patients who has undergone surgical management and 23 patients who took non-operative treatment for midshaft clavicle fractures done from April 2013 to October 2015. Our surgical modality of treatment is open reduction and internal fixation with plate osteosynthesis using standard anterior approach to clavicle. We have used Edinburgh Classification to classify the clavicle fractures. Statistics analysis done by SPSS 16.0 (Statistical package for social science). With the results of our study we have come to a conclusion that there were no significant difference in functional outcome of patients with midshaft clavicle fractures treated by surgery and non-surgically. Shortening of more than 2 centimeters did not affect the final scores and functional outcome of patients.

KEYWORDS: Midshaft Clavicle Fracture, Constant and Murley Scoring System, Edinburgh Classification.