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ORIGINAL ARTICLE
Year : 2015  |  Volume : 15  |  Issue : 1  |  Page : 31-36

Fracture clavicle: Operative versus conservative management


1 Department of Orthopaedics, AIIMS, New Delhi, India
2 Department of 1Orthopaedics, Burdwan Medical College and Hospital, Burdwan, India
3 Department of Physiology, Burdwan Medical College and Hospital, Burdwan, India
4 Department of Pathology, Burdwan Medical College and Hospital, Burdwan, India
5 Department of Orthopedics, RGKar Medical College, Kolkata, India
6 Department of Orthopedics, National Medical College, Kolkata, West Bengal, India

Correspondence Address:
Arunima Chaudhuri
Krishnasayar South, Borehat, Burdwan - 713 102, West Bengal
India
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DOI: 10.4103/1319-6308.149531

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Background: Clavicle fractures are common injuries in active individuals, and it is becoming increasingly apparent that clavicular malunion is a distinct clinical entity with radiographic, orthopedic, neurologic, and cosmetic features. Aims: To analyze the outcome of managements of nonoperative and operative procedures in fracture clavicle in an urban population of eastern India. Materials and Methods: This prospective observational study of 30 cases with fracture of the clavicle was conducted in a tertiary care hospital of eastern India in a time span of 1 year after taking institutional ethical clearance and informed consent of the patients. Injuries were classified according to the AO classification scheme. Patients were treated either conservatively or operatively and followed-up at 6 weeks and 3, 6, and 12 months, then every 6 months. Results: The mean time for fracture healing was significantly shorter in the operative group (15.73 ± 0.70 weeks) than nonoperative group (27.47 ± 0.74 weeks). The difference is statistically highly significant (P < 0.000). Patients in the operative group were more satisfied with the appearance of the shoulder (P < 0.05*). There was no statistically significant difference between two groups with respect to flexion, extension, abduction, internal rotation and external rotation movements with P = 0.532, 1.00, 0.344, 0.052 and 0.056 respectively. Patients in the operative group had better range of Shoulder adduction movement than nonoperative group (P = 0.015). Conclusion: Operative fixation of the clavicle fracture results in improved functional outcome, shorter time for union compared with nonoperative treatment at 1 year of follow-up and primary operative intervention in clavicle fracture in active adults may be of immense importance.


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