COMPARATIVE ANALYSIS OF S-NAILING VS. PLATING IN CLAVICLE SHAFT FRACTURE MANAGEMENT: ONE-YEAR OUTCOMES

Background: This study presents a comparative analysis of two surgical approaches, S-Nailing and Plating, in the management of clavicle shaft fractures. Clavicle fractures are common orthopaedic injuries, and the choice of treatment method can significantly impact patient outcomes and healthcare resource utilization. Material & Methods: A total of 100 patients from the Indian subcontinent were enrolled in this study, with 50 patients assigned to each treatment group. General outcomes, including success rates and complication rates, were evaluated. Specific outcomes encompassed average healing time, infection rates, functional outcomes (range of motion and strength), and patient-reported outcomes (pain scores and satisfaction). Comparative analysis was performed to assess statistical significance. Additional parameters considered were the time required to return to daily activities, cost of treatment, and reoperation rates. Results: In the S-Nailing group, a higher success rate of 88% was observed, with a lower complication rate of 12%. Healing time was significantly shorter (11 weeks), and the infection rate was 6%. Patients in this group demonstrated superior functional outcomes, with 92% experiencing significant recovery in range of motion and 88% in strength. Patient-reported outcomes were favourable, with an average pain score of 4/10 and a high satisfaction rate of 90%. Conversely, the Plating group exhibited an 80% success rate and a higher complication rate of 20%. Healing time averaged 13 weeks, with an infection rate of 8%. Functional outcomes showed 87% recovery in range of motion and 82% in strength. Patient-reported outcomes indicated a slightly higher average pain score of 5/10 and a lower satisfaction rate of 85%. Comparative analysis revealed statistically significant advantages favoring the S-Nailing group in terms of healing time, range of motion, and patient satisfaction. Conclusion: In the management of clavicle shaft fractures in the Indian subcontinent, S-Nailing demonstrated superior outcomes in terms of success rate, healing time, range of motion, and patient satisfaction. These findings provide valuable insights for clinical decision-making in orthopaedic practice.