FUNCTIONAL OUTCOME OF CLOSED MIDSHAFT CLAVICLE FRACTURES TREATED WITH TITANIUM ELASTIC NAIL SYSTEM VS NON OPERATIVE MANAGEMENT - A COMPARATIVE STUDY

Dr. Akshaya*

ABSTRACT

Introduction: Clavicle fracture is the most common type of all fractures. Traditionally, clavicle fractures are treated non-operatively with a clavicle brace and broad arm sling, Outcomes of non-operative treatment are not always excellent. In recent year’s, operative modality is being preferred by many surgeons. Methodology: Study conducted in department of orthopaedics, mahatma gandhi medical college and research institute Pondicherry, After obtaining Human Ethical committee approval 40 patients were included in the study, Total of 40 patients were selected for the study, patient were allowed to choose the type of treatment after explaining the advantage and disadvantage of both the procedure, were divided into two groups, group A for TENS nailing, Group B assigned for non operative, patient’s were assessed using constant murley score system. Results: 10 Patients who underwent TENS nailing showed faster union time then non operative group. Significant Shortening of clavicle was seen in the non-operative group. Conclusion: Operative treatment yielded in lesser complications such as malreduction, and shortening of the clavicle compared to non operative treatment and also showed early fracture union time and functional outcome remains the same irrespective of the type of treatment approach.

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