A clinical study of the management of fracture shaft of clavicle by different modalities

Abstract

Background: There are multiple modalities to treat clavicle fracture in patients. Both conservative and surgical management are possible and surgen must choose the most appropriate management modality according to biological age, functional demands and type of lesion. Here, we are doing a study of treating clavicle fracture by various modalities and comparing its functional outcome. Aims: The aim of the study is to show the results of management of displaced mid shaft of clavicle by different modalities in terms of: (a) time of union of fracture, (b) functional outcome, and (c) complications. Settings and Design: This was a prospective study with total sample size of 36 consecutively reporting participants in outpatient department as well as in emergency department. Materials and Methods: Study participant was systematically and randomly allocated into three groups of 12 each, Group 1 (TENS), Group 2 (Plating), and Group 3 (Conservative). Patients were randomized into operative (TENS), operative (Plating), and Conservative in a ratio 1:1:1. Statistical Analysis Used: The comparison of normally distributed continuous variables between the groups was performed using Student's t-test. Nominal categorical data between the groups were compared using Chi-square test. For all statistical tests, P < 0.05 was taken to indicate a significant difference. Results: Comparison of normally distributed continuous variables between the groups was performed using Student's t-test. Groups were compared using Chi-square test. For all statistical tests, P < 0.05 was taken to indicate a significant difference. Displaced mid shaft fracture managed by operative manoeuvre either by TENS or Plating shows excellent result in 50% of cases whereas in non operative group excellent result seen only in 25% of cases. Conclusion: Excellent functional outcome is seen in majority of patients treated operatively and those patients are functionally more satisfied when it comes to complications rate.

Keywords

• clavicle fracture
• comparative study
• functional outcome