Comparison and evaluation of results of operative versus non operative treatment in one third fracture of clavicle

Clavicle fractures are one of the most prevalent fractures. They are treated with surgery or conservative methods, but the best treatment is not clear. The aim of this study was comparison of operative with non operative treatments in the middle fracture of clavicle. overall Sixty four patients aged between 20 to 65 years with middle clavicular fracture referring to Shahid Kamyab and Imam Reza Hospitals of Mashhad were recruited in 2013. Patients were randomly allocated to one of the two methods. Patients were followed for 6 months and demographic features, standard radiographic indices, DASH and VAS scores were recorded. The rates of acceptable results were more in surgery group than in non surgery group (p=0.001). Surgical techniques for fractures of Midshaft of clavicula have many advantages versus non-surgical procedures and treatment is clinically and financially more affordable and better. Rate of complications was significantly lower in surgical procedure than non-surgical. In the surgical procedure period of hospitalization was longer (p=0.004) but time for returning to work and pain were less than nonsurgical method (p=0.004). In treatment of clavicular Midshaft fractures surgery was prior to non-surgery method and should be regarded as the treatment of choice