A study of patients with middle third clavicle fractures as per treatment given and complications
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 5
Abstract
Introduction: The method of treatment for clavicular fracture depends on several factors including, Age, Location of fracture, Fracture pattern, Medical condition of the patient Associated injuries. Aims and Objectives: To study patients with middle third clavicle fractures as per Treatment Given and Complications Material and Methods: The present study was conducted at the Department of orthopedics Sri Manakula Vinayagar Medical College And Hospital, Puducherry, from Jan 2008 to Sept 2012. The study consisted of a total of 58 patients of which 25 patients were retrospective and were assessed at the beginning of the study or at the end of 1 year. Prospectively 33 patients were studied totally 28 patients were completely analysed wherein 15 patients underwent plate fixation and 13 patients underwent titanium elastic nailing inserted through the sternal end of the clavicle. Statistical analysis done by Chi -Square test. Result: All the patients in plating group underwent ORIF. In the nailing group 53.8% patients underwent ORIF and only 46.2% needed CRIF. As per the Treatment the Complications like Delayed union i.e. 6.7% and 3.6; Nail prominence 0 %and 14.3 %; Shoulder stiffness 6.7% and 7.1% were found in PLATE and TENS Respectively but the Observed difference was not statistically significant . According to constant and murley scoring system for evaluating the functional results among the 28 patients 12 had excellent results with 4 (26.7%) patients in plating group and 8 patients (61.5%) in nailing group.12 patients had good results with 7 patients (46.7%) in plating group and 5 patients (38.5%) in nailing group.3 patients(20%) had fair results and one patient had poor result in plating group. On statistical analysis of the functional results no significant difference noted between the plating and nailing group (0.1356) Conclusion: The data of this study demonstrate that operative treatment of displaced midclavicular fractures with TENS, results in an excellent functional outcome. This technique provides more rapid free movement of the shoulder and an earlier return to daily activities than conservative management
Authors and Affiliations
Elango M, Kumareswaran S I, Latchoumibady K, Murugan A
Keywords
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