Volume : 7, Issue : 5, May - 2018

A COMPARATIVE STUDY OF THE COMPLICATIONS FACED IN DISPLACED MID SHAFT FRACTURE CLAVICLE TREATED CONSERVATIVELY AND BY OPEN REDUCTION AND INTERNAL FIXATION (ORIF) WITH PLATE:

Dr Ajith Raj, Dr Prashanth

Abstract :

<p class="MsoNormal" style="text-align:justify">Middle third fracture of the clavicle is one of the most common fractures of the body clavicle fractures account for approximately 4% of all fractures. It frequently results in short-term disability and pain, eventually causing longer-term deformity and disability if treated inadequately43. Fractures occur most commonly in the middle third of the bone (76-82%) and less often in the distal (12-21%) and medial (3-6%) thirds. Traditionally most of these fractures have been treated with benign neglect, slings, or figure-ofeight harnesses. Historically it was considered that, &ldquo;All clavicle fractures do well with nonoperative treatment&rdquo;. Such treatment were usually successful and till recently most of the available literature showed that more than 95% of clavicle fractures achieve union with acceptable cosmetic and functional results . &ldquo;Operative treatment is not only meddlesome but can increase the nonunion rate significantly&rdquo;, much of this thinking came from the original work of Neer and Rowe et al in the 1960s when operative techniques were variable and not standardized or refined.</p> <p class="MsoNormal" style="text-align:justify">In our study we compared<span style="mso-spacerun:yes">&nbsp; </span>two accepted treatment modalities of fracture midthird clavicle called open reduction and plating with locking compression plate and<span style="mso-spacerun:yes">&nbsp; </span>conservative treatment with<span style="mso-spacerun:yes">&nbsp; </span>figure of eight clavicle ace in terms of complication and aims to find out which is a better treatment option.</p>