OUTCOME OF CONSERVATIVE VS SURGICAL MANAGEMENT IN MID SHAFT CLAVICLE FRACTURES.

Dr. Dinesh Kumar G, Dr. Upendram Vamsi Krishna, Dr. C. Maruthi Prasad

Abstract


Aim: Recent studies of displaced clavicle mid shaft fractures treated conservatively shows non union and unsatisfactory
results. Some studies shows better outcome when treated surgically. The aim of this stydy is compare the outcome of
surgically and conservatively treated groups.
Patients and methods: this study was done on 36 cases of acute mid clavicular fractures in government general hospital ,Kurnool on 2018-2019
period. 18 cases treated conservatively with sling and 18 were surgically treated.outcome was assessed using constant score.patients were
fallowed up for 1year.
Results: a total of 18 patients in conservatively treated group and 18 in surgical group completed 1 year fallowup.at 3months fallowup constant
score was significantly better in surgically treated group comparing with conservative group. Complications of non union and malunion were
high in conservative group.
Conclusion: fixation of displaced clavicle mid shaft fractures with pre contoured plate results in faster functional recovery and a high rate of
union compared with non operative management.


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