[Results of conservative treatment of midclavicular fractures].

Abstract

Background: ln this study, we compare the outcome of conservative management by closed reduction and figure of eight bandage in cases of midclavicular fractures with previously published results of other treatment methods.

Methods: In our department between 1997-2002, 37 cases ofmidclavicular fractures having undergone conservative treatment were evaluated.

Results: 26 patients (70.2%) were male and the remaining 11 (29.8%) female. The average age was 34.3 years (range; 9 to 65). The claviclefractures were classified according to the Allman classification and all fractures were in group 1. After reduction, a figure of eight bandage was applied. The mean follow-up period was 29.8 months (range; 6 to 48). All the fractures showed a complete union but one case (2.7%). 1n 16.2% of the cases minor cosmetic problems were observed.

Conclusions: We conclude that conservative treatment is the preferred method of treatment in cases of mid-clavicular fractures, unless there is an absolute indication for surgical therapy. This approach is easily applicable, cost effective and has fewer complications. Key Words: Midclavicular fracture, conservative treatment, closed reduction,figure of eight bandage.