Comparative Evaluation of Results after Internal Fixation of Fracture Clavicle by Titanium Elastic Nailing System/Plate
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Background: Fractures of clavicle are common injuries with incidence of 2.6-8% of all fractures and 44% of all shoulder injuries [1]. Aim: The aim of this study is to compare the results and complications of internal fixation with titanium elastic nailing system (TENS)/plates in displaced fracture midshaft of clavicle. Materials and Methods: In a prospective study from December 2014 to June 2016, we analyzed 62 patients of displaced fracture midshaft clavicle treated by TENS (31) (Group I) and plate and screws (31) (Group II). Average age in the two groups was Group I (30.22) and Group II (30.34). The majority of the patients were males (65%) in both groups. Mechanism of injury was road traffic accident (67.74%) which was most common others are fall from height and assault. According to Allman classification, all midshaft clavicle are Type I. Results: No significant difference was found in function and non-union rate in both groups but major complications and union time are more in plate fixation group than TENS group. Conclusion: Callus formation was early in TENS group, and healing was faster as compare to plate group. TENS is a safe, minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and comparable functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures.
Authors and Affiliations
Paras Gupta, Atul Kumar Vishwakarma, D. K. Gupta D. K. Gupta, Saurabh Agarwal, Neeraj Singh
Keywords
Related Articles
- EP ID EP605484
- DOI -
- Views 91
- Downloads 0
Role of Arthroscopic Synovial Biopsy and Synovectomy in Diagnosis and Management of Chronic Synovitis of the Knee
Background: Synovitis of the knee can be very diļ¬cult to treat, especially when the diagnosis remains elusive. Synovitis occurs due to the various causes. We assess the patients presenting to our hospital with synovitis...
Role of Bone Marrow Derived Autologous Mesenchymal Stem Cells in Fracture Healing in Rabbits
Introduction: In patients with fractures, the bone marrow derived autologous stem cells have a therapeutic potential to accelerate the healing process and treat nonunion. It has become a clinical necessity to develop the...
A Comparative Study of Titanium Elastic Nailing System versus Spica Casting in Management of Femoral Shaft Fractures in Pediatric Age Group
Background: Nearly 70% of femoral fractures involve the shaft and representing 1.6% of all fractures in the pediatric population. Aim: e aim of the study was to study and compare the results of titanium elastic nail (TEN...
Acetabular fractures- outcome analysis
Introduction: Fracture of acetabulum poses a significant management issues for orthopedic surgeons. These are usually caused by high-energy trauma and are associated with other major injuries. The fracture or fracture di...
Ultrasonographic Evaluation of Achilles Tendon Healing after Percutaneous Tenotomy for the Correction of Congenital Clubfoot by Ponseti Method
The Study is attempt to establish the regulation of Achilis tendon after percoetaneous tenotomy in idiopathic clubfoot patient as per ponsenti method of correction clinically and evaluation by ultrasound.The prospective...