COMPARATIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME BETWEEN ORIF WITH PLATE AND CRIF/ORIF WITH TENs FOR MIDSHAFT DISPLACED CLAVICULAR FRACTURE: A RETROSPECTIVE STUDY

Abstract

Introduction-Clavicle fracture constitutes about 44% of shoulder injuries and 2.6%-10% of all fractures. Undisplaced and minimally displaced fracture of clavicle are acceptably treated conservatively with Arm pouch or triangular sling and clavicular brace or gure of eight bandage. Conservative treatment for displaced fracture has risk of malunion, nonunion and cosmetic unacceptability. Different surgical measures were popularised to address this problems. Fixation by Locking Plate or intra-medullary TENs are current gold standard . This study aims to compare TENs and Plate xation for midshaft displaced clavicular fracture in terms of rate of union and functional outcome and complications on either methods. This retrospective comparative study analysed result of 53 patients Material And Methods- of clavicular fracture treated by TENs (21) or Plating (32) done at Department of Orthopaedics , Bankura Sammilani Medical College, Bankura between November 2020 to February 2022. Radiological outcome measured with Rate and Time of union assessed by skiagram and functional outcome measured by DISABILITIES OF THE ARM ,SHOULDER AND HAND (DASH) score. When compared to plate xation, TE Results- Ns had lesser Time of union the Functional outcome measured showed TENs having better average score than Plate xation. Both nding were statistically signicant. TENs had Conclusionlesser union time ,better functional outcome and comparative complications rate to plate xation. So, Midshaft Clavicular Fractures managed with TENs have comparative better result than clavicular plating.