STUDY OF FUNCTIONAL OUTCOME OF OPERATIVE -TITANIUM ELASTIC NAILING SYSTEM (TENS) VERSUS NON-OPERATIVE FIGURE OF 8 BANDAGE TREATMENT FOR ALLMAN GROUP I DISPLACED MIDDLE ONE-THIRD CLAVICLE FRACTURE – A RANDOMIZED CONTROL STUDY SYSTEM (TENS) VERSUS NON-OPERATIVE FIGURE OF 8 BANDAGE TREATMENT FOR ALLMAN GROUP I DISPLACED MIDDLE ONE-THIRD CLAVICLE FRACTURE- A RANDOMIZED CONTROL STUDY

Clavicle is the only vertical long bone that connects thorax and shoulder griddle and helps in free movement around the shoulder joint . 4-12% of all the fractures of the body contributed by clavicle and among that 80% is only by mid shaft clavicle fracture . Traditionally, most of the mid clavicle fractures are managed conservatively by using figure of 8 bandage and arm sling. It has a advantage of being non-invasive and there is no exposure to anaesthesia. Conservative management has a risk of non-union, residual deformity and higher patient dissatisfaction as it need regular adjustment and regular fallow up but still most of the mid clavicle fractures managed conservatively without any serious consequences . Recent study shows there is a increasing trend of surgical management for mid clavicle fractures due to higher malunion rate 15 % and patients dissatisfaction rate of 31 % . Most commonly used surgical methods for management of mid clavicle fracture are plating and intramedullary nailing with TENS. Both these methods showed superior functional results compared to non-conservative treatment. Compared to plating TENS has a benefit of minimally invasive with good cosmetic result and aim at exact restoration of length and early return to activity