Fracture Clavicle: Is Surgical Fixation a Better Treatment?

ABSTRACT

Background: Fractures of clavicle represent approximately 3–12% of all fractures treated by orthopedic surgeons. There hasbeen a debate over the years for the best treatment of midshaft clavicle fractures. Our study is intended to find both conceptualand practical guidance for precision treatment with an expectant favorable functional result.Materials and Methods: Out of 50 patients of clavicle fractures, 25 were treated conservatively and 25 were treated operativelyby locking plate fixation. Outcomes were assessed using the disabilities of the arm, shoulder and hand (DASH) score forfunctional assessment.Results: Functional and anatomical outcomes were found to be better in patients treated operatively with better DASH scorescompared to patients treated with clavicle brace and sling.Conclusion: Surgical fixation of fracture clavicle gives better functional outcomes and shorter time for union with betteranatomical reduction than non-operative treatment. Hence, we recommend surgical fixation with a locking plate is the standardof treatment in these fractures.