Abstract Issue

Volume 12 Issue 4 ( October-December ) 2023

Original Articles

Comparison of conservative and surgical management with LCP of displaced mid shaft Clavicle fractures
Dr. Nishant Narayan Gholap, Dr. Sunkara Mangala Bhargav, Dr. V Dev Manohar Kiran, Dr. Robin C Raju

Background: Clavicle fractures comprise 2% of all fractures and 35–45% of all shoulder girdle injuries in adults (Nordqvist and Petersson 1994, Postacchini et al. 2002). The incidence in western countries is around 50–64 per 100 (Nordqvist and Petersson 1994, Nowak et al. 2000). Clavicle fractures are one of the most common adult injuries, accounting for 5% to 12% of all fractures and representing up to 44% of injuries to the shoulder girdle. Aims and Objectives: To compare Conservative versus Surgical Management with Locking Compression Plate (LCP) Of Displaced Mid Shaft Clavicle Fractures. Materials And Methods: This was a cross-sectional study carried out in the patients with clavicle fracture during the one-year period i.e February 2022 to January 2023 So during the one year period there were 52 patients with clavicle fracture were enrolled to study out of the 52 with the written and explained consent 26 patients were selected randomly and managed conservatively and 26 selected randomly and managed surgically by Compression Plate (LCP). The details of the patients like age, sex, site, mode of injury, alcohol influence at the time of injury, fracture pattern, average duration of the wound healing, duration of fracture healing, functional outcome and complications were noted. Follow up of patient done at 2 weeks,6 weeks,12 weeks and 24weeks The statistical analysis was done by chi-square test and unpaired t-test and analyzed by SPSS 19 version software. Results and Observations: In our study 52 patients with clavicle fracture were enrolled to study out of the 52 with the written and explained consent 26 patients were chosen randomly & managed conservatively and remaining 26 managed surgically by Compression Plate (LCP).The average age was comparable in both the groups i.e. 42.12 ±3.23 and 41.19±4.19 (p>0.05,t=0.72,df=49) and the male to female ratio was also comparable in both the groups i.e. 1.5 : 1 and 2.1 : 1 (X2=0.347,df=1) The average healing was significantly more in conservative management group i.e. 5 ± 3.45 months versus 2.98± 2.87 (p<0.05, t=4.76, df=49) in operative group Complications were symptomatic Mal-union, Union with symptoms, Delayed union, Infection etc. The complications were comparable in both the groups (X2=6.119, df=5, p>0.05). Conclusion: Clavicle fractures, conventionally treated conservatively, may lead to suboptimal outcome specifically in comminuted, displaced and shortened midshaft and lateral third clavicle fracture. Mid third clavicle fractures treated by locking plate and with anatomical reduction, achieves reliable bony union and provides amore rigid stable fixation which does notrequire immobilization for longer periods. It can be concluded from our study that both the methods were comparable with respect to the complications but healing was significantly fasterin the surgical method of management with early return of functional activity and hence surgical management should be preferred but the management should be individualized as per the patient

 
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