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Evaluation the outcomes of flexible intramedullary nailing fixation of displaced midshaft clavicle fractures

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Original Article

Author Details : Hemant Kumar, Ravinder K. Banga, RS Boparai, Jaspal Singh

Volume : 3, Issue : 2, Year : 2017

Article Page : 197-201

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Abstract

Introduction: Fracture of the clavicle is common in occurrence with incidence of approximately 5% of all fractures seen in hospital emergency. These fractures are generally managed conservatively. Now days, titanium elastic nails are emerging as a minimally invasive treatment for displaced mid-clavicular fractures, which may be an alternative to plate fixation or even non-operative treatment.
Objective: The aim of this study is to assess the cosmetic outcome (malunion, asymmetry, scar formation), rate of bone healing and alignment of the clavicle (<30⁰ or >30⁰) related to the flexible intramedullary nailing of midshaft fracture clavicle.
Methods: Between June 2012 to June 2014 in GMC & Hospital Amritsar, 50 patients with displaced, non-comminuted fracture of midshaft clavicle of either side underwent flexible intramedullary nailing with titanium elastic nail. Implant removal was performed in 90% cases after the fracture united completely.
Results: In this study, all fractures were united. Mean duration of radiological union was 10.3 weeks ranging from 6 to 20 weeks. Mean DASH score after 6 months of follow up was 7.7 ranging from 0.8 to 44.2.Mean constant self evaluated score was 80.2 ranging from minimum 43 to maximum 98 after 6 months of follow up.
Conclusion: Flexible intramedullary nailing is a minimally invasive technique for stabilization of displaced midshaft clavicle fractures and it is a simple procedure with excellent functional outcome in terms of quick return to activities and a high patient satisfaction rate with very good cosmetic outcome.

Keywords: Intramedullary clavicle nailing, Middle 1/3^rd clavicle fractures, Titanium elastic nailing System (TENS)

How to cite : Kumar H, Banga R K, Boparai R, Singh J, Evaluation the outcomes of flexible intramedullary nailing fixation of displaced midshaft clavicle fractures. Indian J Orthop Surg 2017;3(2):197-201

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