European Journal of Molecular & Clinical Medicine

Abstract

Background: To compare Rockwood pins and dynamic compression plating in management of displaced and shortened mid-clavicle fractures.
Materials and Methods: Clavicular fractures patients were divided into two groups of 35 each. Group I patients were treated with Rockwood clavicle pins and group II patients were treated with dynamic compression plate. Parameters such as mode of injury, and the functional outcome was evaluated using the American Shoulder and Elbow Surgeons (ASES) score and Constant score.
Results: There were 20 male and 15 females in group I and 22 male and 13 females in group II. The mode of injury was fall seen in 7 in group I and 5 in group II followed by road traffic accident seen in 20 in group I and 21 in group II and physical violence in 8 in group I and 9 in group II. A significant difference in both groups was observed (P< 0.05). ASES score subjective pain value was 9.7 in group I and 8.7 in group II, activity score was 28.4 in group I and 27.3 in group II. A significant difference was seen in both groups (P< 0.05). ASES score objective range of motion was 41.9 degree in group I and 40.2 degree in group II, strength was 20.9 in group I and 20.1 in group II. A significant difference was seen in both groups (P< 0.05).
Conclusion: Rockwood clavicle pins were superior as compared to dynamic compression plate in patients with displaced and shortened mid-clavicle fractures.