A comparative study of functional outcome of clavicular fractures treated by operative and non-operative methods
Journal Title: International Journal of Orthopaedics Sciences - Year 2017, Vol 3, Issue 1
Abstract
Clavicular fracture is one of the most common injuries of the skeleton, representing 3% to 5% of all fractures and 45% of shoulder injuries. Midshaft fractures have traditionally been treated non-operatively. Prevalence of non-union or mal-union in displaced midshaft clavicular fractures after conservative treatment is higher than previously presumed and fixation methods have evolved. Surgery is accepted as primary treatment for displaced midshaft clavicular fractures. Majority of the cases were due to RTA 29 cases and 11 cases were due to fall. The mean time of fracture healing was shorter in the operative group (15.1 weeks) than non operative group (20 weeks). The difference is statistically highly significant (P<0.001). There was no non union in the operative group and 15% non-union in the non-operative group. A significant difference between the two groups in terms of DASH and Constant Shoulder Scores after the six months follow up was not found. Operative fixation of the clavicle fractures results in improved function, shorter time for union and early return to activity compared with non-operative treatment. Primary operative intervention in clavicle fracture in active adults may be of immense importance.
Authors and Affiliations
Dr. Channappa TS, Dr. Radhakrishna AM, Dr. Sumanth B, Dr. Shivakumar HB
Keywords
Related Articles
- EP ID EP500296
- DOI 10.22271/ortho.2017.v3.i1h.74
- Views 122
- Downloads 0
Results of short segment posterior fixation in AO type C fracture of dorsolumbar spine
Introduction: Spinal traumas are common and leading problem in orthopaedics practice. The individuals are at a risk of high energy trauma in modern era. Unstable thoraco-lumbar burst fractures are serious injuries of con...
A study on core cut biopsy in bone lesions
To study the histopathology of bone lesion received as core cut biopsy and the adequacy of core cut biopsy in diagnosis of bone lesion. Between June 2012 to May 2013, 90 core cut bone biopsy for histopathology were inclu...
To compare the effect of different time ratio of heat and cold in contrast bath on clinical improvement in plantar fascitis
Background: Contrast bath is commonly used therapy in plantar fascitis. However there is no standard regimen followed as to the order and time ratio of hot and cold fomentation. This study was conducted to establish a st...
Early outcome of hemireplacement arthroplasty using cemented bipolar prosthesis in fracture neck femur in elderly: A study of 50 cases
Introduction: A much controversy exists regarding treatment of neck of femur fractures in elderly. Currently, choices available for an orthopaedic surgeon for treating these fractures in elderly are unipolar hemiarthropl...
Evaluation of extra-articular distal humerus diaphyseal fractures treated with single pre-contoured locking lateral column plating
Background: A prospective study was done in the Department of Orthopedics in D.Y HOSPITAL, Navi Mumbai from January 2015 to May 2017 to evaluate outcomes of single column plating in extra articular distal comminuted as w...