• Indexing List

Indian Journal of Orthopaedics Surgery


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


Full Text PDF Share on Facebook Share on Twitter


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

Volume : 3

Issue : 2

Online ISSN : 2395-1362

Print ISSN : 2395-1354

Article First Page : 197

Article End Page : 201



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 1/3rd clavicle fractures, Titanium elastic nailing System (TENS)