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Purpose:To evaluate the functional outcome of open reduction and internal xation with locking compression plate and conservative management with gure of eight clavicle brace in treating displaced middle third clavicular fracture as measured by Constant & Murley score Materials and Methods: 40 Patients were allotted randomly into two groups. Patients selected in the conservative group were immediately managed with gure of eight Clavicle Brace. Patients selected for surgery were operated as early as possible once the general condition of the patients were stable and the patients were t for surgery as assessed by the anesthesia team. All patients were followed up every week for 2 weeks post treatment and thereafter every 6th week, 3rd month, 6th month and at 1 year. Serial radiographs were obtained immediately after surgery and then at 6 weeks, 3 months, 6 months and one year. Features of healing and functional outcome were looked for using the Constant and Murley scoring system at the time of injury, 6 weeks, 3 months, 6 months and one year. Also, evidence of implant breakage, non-union, infection or any other complication was looked for. Result: The functional outcome scores were measured using Constant and Murley system and it was found that patients treated surgically had signicantly better results at 6 weeks, 3 months, 6 months and 12 months respectively when compared to conservative group. The complications observed were one case each of infection and implant failure in the surgical group and one case each of nonunion and shoulder stiffness in the conservative group. Conclusion: It was observed that patients who underwent surgical treatment had better functional outcome in terms of early ROM and so return to work was earlier compared to conservative group.
Agrawal et al. (Thu,) studied this question.