Comparative evaluation of operative versus non-operative management of midshaft displaced clavicle fractures: A case series

Abstract

Background and objectives: Clavicle fractures are common injuries in young individuals and they account for approximately 2.6 % of all fractures. Various treatment modalities are available for the management of such fractures. Recent studies have suggested benefits following primary operative fixation of substantially displaced midshaft fractures of the clavicle The objective of this study was to access the functional outcome and result of operative versus non-operative treatment of midshaft displaced clavicle fracture. Method: This is a prospective comparative observational study of 50 cases of clavicle fracture with comparison between operative and non-operative management of midshaft displaced clavicle fractures assessed by DASH score. Results: In majority of the operative patients, fractures were united within 14-16 weeks. Average dash score was around 18.00 at 6 weeks, 7.32 at 3 months and 5.16 at 6 months. In majority of the nonoperatively managed patients, fractures were united within 22-24 weeks with mean dash score of 30.77 at 6 weeks, 9.82 at 3 months and 6.36 at 6 months Conclusion: DASH scores were significantly better for the operative group at 6 weeks, 3 months and 6 months follow-ups. In the present study, operative management by primary open reduction and internal plate fixation of acute displaced midshaft clavicle fracture has better result and functional outcome as compared to non-operative management for the same.