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To compare outcome of minimally invasive Anterograde Titanium Elastic Nailing(RTEN) with that of a standard plating technique for the treatment of displaced Midshaft Clavicular Fracture (MSCFs).

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Original Article

Author Details : Sumit Jain Sethia, Vinod K Gautam, Vishal M Mehta*, Sagar R Kothiya

Volume : 6, Issue : 4, Year : 2020

Article Page : 341-346

https://doi.org/10.18231/j.ijos.2020.062

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Abstract

Background: The follow-up observational study between TENS and PLATE group in Displaced Midshaft Clavicular fracture conducted in the Department of Orthopaedics, Sir Takhtsinhji Hospital, Bhavnagar, after getting permission from ethical committee.
Materials and Methods: All patient coming to Sir Takhtsinhji General Hospital, Bhavnagar with midshaft clavicular fracture and who admitted for surgery and met the criteria was included in this study. Patients with fractures older than 4 weeks or with pathological fractures or those having associated head injury or having bilateral fracture was excluded from the study. After explaining the purpose of the study, a written informed consent was taken from all the participants before data collection. The data were recorded in a predesigned and pretested proforma. Data was collected from past records, and in subsequent 6 weeks, 3 and 6 months postoperative follow up.
Result: At the end of the study, we had 15 patients in the Plate group and 15 in the TEN group for comparison. In the Plate group, we had 08 male and 07 female patients, whereas there were 09 male and 06 female patients in the TEN group. The Duration of Surgery was 71.346.67 in the Plate group and 485.60
in the TEN group. The use of minimally invasive antegrade TEN for fixation of displaced midshaft clavicle fractures is recommended The functional outcome at 3 months was good in 14 cases (46.66%), adequate in 16 patients (53.34%). Out of all the good outcomes, 9 cases (60%) were from TEN group while 5 patients
(33.3%) from plate group.
Conclusion: All patients were evaluated at 6 weeks, 3 and 6 months with follow up radiologically by xrays. In our study Road Traffic Accident was the most common cause for clavicle fractures. Fall on out stretched hand was the commonest mechanism of injury. We studied the fracture pattern (intra operatve
finding) based on mode of injury and mechanism of injury. From this AO 2B2 (comminuted mid shaft fracture) is associated with high velocity injury and direct impact on the shoulder.

Keywords: RTEN, Plating and MSCF.

How to cite : Sethia S J, Gautam V K, Mehta V M, Kothiya S R, To compare outcome of minimally invasive Anterograde Titanium Elastic Nailing(RTEN) with that of a standard plating technique for the treatment of displaced Midshaft Clavicular Fracture (MSCFs).. Indian J Orthop Surg 2020;6(4):341-346

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