KLAVÝKULA ORTA BÖLGE KIRIKLARININ KONSERVATÝF TEDAVÝ SONUÇLARI

RESULTS OF CONSERVATIVE TREATMENT OF MIDCLAVICULAR FRACTURES

Background: ln this study, we compare the outcome of conservative management by closed reduction andfigure 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 allfractures were in group 1. After reduction, afigure ofeight bandage was applied. The meanfollow-up period was 29.8 months (range; 6 to 48). All thefractures showed a complete union but one case (2.7%). 1n 16.2% ofthe cases minor cosmetic problems were observed.
Conclusions: We conclude that conservative treatment is the preferredmethod oftreatment in cases ofmid- clavicular fractures, unless there is an absolute indicationfor 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.