DOI: 10.36347/sjams.2019.v07i04.058

Pages: 1659-1666

Clavicular fractures occur very commonly during road traffic accidents and sports related injuries. The most commonly involved area of the clavicle in fractures is the middle third of the bone. Traditionally clavicular fractures are treated conservatively. However, now there is a growing interest in operative management because of increased rates of non-union/malunion in conservatively treated cases. We in the present study tried to evaluate the functional outcome of the middle third clavicular fractures treated conservatively and with Locking Compression Plate [LCP]. Methods: This prospective cross sectional study was conducted in the Department of Orthopedics, KMC & MGM Hospital, and Warangal from December 2016 to November 2018. A total of n=50 patients were included in the study, and n=25 category 2A1 and 2A2 clavicle fractures were treated with conservative management, n=25 with class 2B1 and 2B2 were treated with Locking Compression Plate. Those treated with conservatively were put on clavicle brace and arm pouch was given. Those with LCP underwent standard surgical procedure for placement of pre-contoured LCP of appropriate length. Follow up was done at the interval of 1 week, 1 month, 2months, 4 months, 6 months and 12 months. Clinically the range of motion, pain, condition of scar and DASH scores were analyzed along with Constant Murley score. Results: The mean time to radiological union was 21 weeks in conservative group and 15 weeks in the LCP group and the mean duration to functional recovery was 8.5 weeks in conservative group and 6.1 weeks in the LCP group. The average Constant Murley scores at the end of all stages of follow up in conservative treatment group was 76.35 ± 5.27 similarly the average scores in the LCP group at the end of all stages of follow up was 81.6 ± 3.77. The functional outcomes of the patients with treatment was assessed and in the conservative treatment group excellent results were found in n=4(16%) good functional outcome was i