Outcomes of Two Surgical Techniques for Mid-Shaft Clavicle Fractures Fixation

Background: Fractures of the clavicle account for 44% of injuries around the shoulder girdle, several techniques of fixation have been described in literature, including the use of plates, Kirschner wires, Steinman pins, external fixators and even plaster constructs.
Objective: The purpose of this prospective cohort study was to compare the outcomes of intra-medullary fixation and plating in the treatment of mid-shaft clavicle fractures.
Patients and Methods: In this study, 24 patients ranging in age from 18 to 60 were enrolled. They were split into two groups and given intra-medullary nailing or plating as their treatment options. Comparison of the two groups' outcomes and complications was done.
Results: The nail group's union time was markedly reduced. In terms of the functional outcome, as measured by the Quick DASH Score, there was no significant difference between groups. A higher rate of infection and nonunion was found in those who used plates, although there was no statistically significant difference between the groups. The nail group had much more skin irritation (hardware prominence) than the control group. When compared to the plate group, patient dissatisfaction was much higher due to scar development.
Conclusion: It is possible to employ intra-medullary fixation in the treatment of mid-shaft clavicle fractures as a viable alternative to plate fixation since it is a minimally invasive procedure with fewer risks, faster healing, and better cosmetic and functional outcomes.