[Treatment of mid-clavicular fractures in adults. Early results after rucksack bandage or elastic stable intramedullary nailing]

Abstract

Objectives: The aim of this prospective study was to compare the results achieved in two groups of patients treated for mid-clavicular fracture.

Methods: The first group of 27 patients was treated nonoperatively with a rucksack bandage, whereas the second group underwent intramedullary fixation with a titanium pin, using a minimally invasive technique. Within the follow-up period of 6 months, results were evaluated seven times.

Results: During the whole period significantly (p<0.05) better results were observed in the group of operated patients concerning shoulder function, Constant score, DASH score, personal satisfaction, pain, and cosmetic result. In the second group return to work occurred in less than half the time of the first group.

Conclusion: Intramedullary nailing of mid-clavicular fractures is a safe and minimally invasive operation technique. Early functional and cosmetic results are not worse than results after nonoperative treatment with a rucksack bandage.