In case of clavicular fractures in adult, the goal of treatment is to achieve bone healing with minimum morbidity, minimal loss of function and minimal residual defc???ty.Fractures of clavicle with butterfly fragment have been treated by various
methods, such as modified shoulder spica case, figure-of-eight bandages and surgical operation.
It is very difficult to decide the method of treatment conservatively or operatively.
The authors treated 20 cases of clavicular fractures with butterfly fragment from January 1987 to August 1990.
Among these, 12 cases were treated by operative methods and 8 cases bymodified shoulder spica case or figure of 8 bandages.
By comparison of clinical results on both treatment group, many complications were noticed in operative group.
It is difficult to arrive at any definite conclusions, because we experienced in few cases. But, closed treatment consitute the preferred procedure in majority of patients except few specific patients.
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