A study of patients with middle third clavicle fractures as per treatment given and radiological union

Introduction: The shoulder girdle is connected to the trunk by Clavicle. It ensures mobility and support to the function of upper extremity. Due to its subcutaneous position, clavicular fracture is a common traumatic injury around the shoulder girdle Aims and Objectives: To study patients with middle third clavicle fractures as per Treatment Given and Radiological Union Methodology: The present study was conducted from Jan 2013 to Sept 2015. The study consisted of a total of 58 patients of which 25 patients were retrospective and were assessed at the beginning of the study or at the end of 1 year. Prospectively 33 patients were studied. Among which 2 cases were lost to follow up, hence a total of 56 patients were studied and assessed at the end of one year. Result: All the patients in plating group underwent ORIF. In the nailing group 53.8% patients underwent ORIF and only 46.2% needed CRIF. As per radiological Union; the majority of the Patients treated with PLATE required > 4 Weeks duration i.e. 93.3% as compared to TENS i.e. 23.1% while majority of the patients with ≤ 4 Durations were TENS i.e. 76.9% as compared to PLATE i.e. 6.7% this observed difference is statistically significant(X2 =14.41, df = 1, p<0.001) Conclusion: AS per Radiological Union TENS Technique of treatment is more effective than PLATE technique