Outcome of fracture clavicle management by either plating or nailing a randomized comparative study

Abstract

Background: Fracture of clavicle account for 2-6% of all adult fractures and approximately 80% of the site involved in adult patients is mid-shaft clavicle. Despite of high frequency, substantial controversies exist in surgeons regarding the optimal fixation pattern for treating these injuries and further research is necessitated. So a comparative randomised study was planned to compare Plating versus TENS for management of mid-shaft fracture clavicle.Methods: Study was conducted in Department of Orthopaedics, Mahatma Gandhi Medical College and Hospital, Jaipur from January 2018 to June 2019. Patients aged from 18-55 years with closed displaced fracture were included in the study. Patients were then randomized into two groups- Group A treated with Plate and Group B treated with TENS. Outcome was assessed by DASH score, cosmetic result, clinical and radiological fracture healing time.Results: A total of 40 patients were in the study, out of which 22 patients were treated with precontoured plate and 18 patients were treated with TENS. The mean blood loss in plating group was 97.27 ml and nailing group was 62.22 ml (p