@article { author = {Khorami, Mohsen and Arti, Hamid Reza and Fakour, Mohammad and Mokarrami, Hossein and Mahdi Nasab, Abdolhossein and Shahrivar, Farid}, title = {The Comparison of Results of Treatment of Midshaft Clavicle Fracture between Operative Treatment with Plate and Non-Operative Treatment}, journal = {The Archives of Bone and Joint Surgery}, volume = {2}, number = {3}, pages = {210-214}, year = {2014}, publisher = {Mashhad University of Medical Sciences, Iranian Society of Knee Surgery, Arthroscopy and Sports Tramatology,Iranian Orthopaedic Association}, issn = {2345-4644}, eissn = {2345-461X}, doi = {10.22038/abjs.2014.3351}, abstract = {Background:  Clavicle fractures are common and usually heal without complications. In this study, we evaluated the outcomes of non-operative versus operative management of displaced fractures.   Methods:  In a prospective clinical trial study, sixty-five patients with displaced clavicle mid-shaft fractures were nonrandomly divided in two treatment groups. The first group underwent non-operative treatment with figure of 8 bandage (30 patients), and the other underwent operative treatment with plate fixation (35 patients). Figure of 8 bandage and 3.5 millimeter DCP plate with at least six cortical screws were used in non-operative and operative groups respectively. We followed up all patients at weeks 2, 6 and 12, and at month sixth. In addition to clinical examination and x-ray evaluation, we assessed satisfaction, DASH and Constant Shoulder Score for each individual. Results:  The average durations of union were 19.3 and 24.4 weeks in operative and non-operative groups respectively (P=0.006). Satisfaction with operative treatment was 74.3% and with non-operative treatment was 66.7%, showing no significant difference (P=0.500). The non-union rate was 5.7% in the operative group and 13.3% in the non-operative group (P=0.518). A significant difference between the two groups in terms of DASH and Constant Shoulder Scores after the six-month follow-up was not found (P=0.352). Conclusions:  According to our results, we recommend operative treatment in mid-shaft clavicle fractures only when there is a definitive indication. }, keywords = {Clavicle,Constant Shoulder Score,DASH score,Internal Fixation,Non-operative management}, url = {https://abjs.mums.ac.ir/article_3351.html}, eprint = {https://abjs.mums.ac.ir/article_3351_72ead05a83a288552accc99de031ce10.pdf} }