Abstract

Objective: The objective of our study was to evaluate the frequency of non-union in patients with midshaft clavicle fracture managed conservatively by using polysling.

Methodology: A total of 125 patients with midshaft clavicle fracture were included and we applied simple polysling in supervision of a senior consultant. The patients were followed regularly for 12 weeks. The radiographic examination was carried out and the frequency of non-union was recorded. BMI < 18.5 Kg/m2 and history of current smoking were treated as effect modifiers.

Results: 125 patients were included in our study sample with mean age of 37.90 ± 12.285 years ranged from 18 to 60 years of age. 81 patients (64.8%) were male and remaining 44 patients (35.2%) were females. 114 patients (91.2%) achieved radiological union at 12 weeks while 11 patients (8.8%) were unable to achieve. Gender, age distribution, BMI < 18.5 Kg/m2 and smoking were similar in both groups with and without radiological union.

Conclusion: It is concluded that radiological union is excellent as 91.2% achieved radiological union at 12 weeks while 8.8% were unable to achieve.

Keywords: Midshaft clavicle fracture, Conservative management, Polysling, Effectiveness of polysling, Radiological union