A comparative study between plating versus titanium elastic nail system in mid-shaft clavicle fracture management

Authors

  • Anil K. Sahu Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India
  • Bhabani S. Lenka Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India
  • Abani K. Mishra Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India
  • Chandan K. Panda Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India
  • Monali Kar Department of Community Medicine, MKCG Medical College, Berhampur, Odisha, India http://orcid.org/0000-0001-6187-1772

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20183674

Keywords:

Clavicle, Randomized trial, Constant and Murley score, Fracture healing

Abstract

Background: Clavicle fracture is one of most common bony injuries. Despite of high frequency, choice of proper treatment is still a challenge. So a comparative randomized study was planned to compare Plating verses TENS for clavicle fractures management.

Methods: Study was conducted in Department of Orthopedics, M.K.C.G Medical College, Berhampur from November 2015 to October 2017.Patients aged from 20-55 years with closed displaced were included in study. Patients were randomized in two groups- One group (25 pateints) treated with TENS and second group (25) with plate. Outcome assessed by pain VAS score, Constant & Murley score, DASH score, cosmetic result, radiological fracture healing time.

Results: Mean fracture union time in TENS group was 11.4±2.12 weeks and in plate group 13.4±3.46 weeks (difference was significant p=0.016). Mean pain VAS score in TENS group was 2.56±0.91 and in plating group 3.12±0.8 (p=0.023). Tens group were cosmetically more satisfied (mean score 4.48±0.7) than plate group (mean score 3.8±1.0, p=0.009). Mean DASH and Constant Shoulder Score in TENS group were 1.87±3.4, 9.36±7.04 and plate group 4.8±9.0 and 15.08±9.4 respectively. Both were significant (p=0.039, p=0.000).

Conclusions: Our study found that patients treated with TENS showed excellent outcome in 84% cases while 60% in plating group for displaces mid-shaft clavicle fracture. Patients in TENS group better in terms of Constant & Murley score and DASH score than treated with plate.

Author Biographies

Anil K. Sahu, Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India

Department of Orhtopaedics, MKCG Medical College, Berhampur, Odisha, India

Bhabani S. Lenka, Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India

Department of Orthopaedics,

M.K.C.G. Medical College, Berhampur, Odisha, India 

Abani K. Mishra, Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India

Department of Orthopaedics,

M.K.C.G. Medical College, Berhampur, Odisha, India

Chandan K. Panda, Department of Orthopaedics, MKCG Medical College, Berhampur, Odisha, India

Department of Orthopaedics,

M.K.C.G. Medical College, Berhampur, Odisha, India 

Monali Kar, Department of Community Medicine, MKCG Medical College, Berhampur, Odisha, India

DEPARTMEN TOF COMMUNITY MEDICINE, MKCG MEDICALL COLLEGE, BERHAMPUR, ODISHA, INDIA

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Published

2018-08-25

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Original Research Articles