Evaluation of the Functional Outcome and Complications of Intramedullary Nailing Through Medial Anterograde Technique in Displaced Midclavicular Fractures
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Aims: The aim of this prospective study was to evaluate the effectiveness and complications of intramedullary nailing in displaced midclavicular fracture through medial anterograde technique. Settings and Design: This was a prospective study. Methods and Materials: This prospective comparative study was conducted at the tertiary center between October 2013 and September 2015 after being approved by the local ethical committee. Total 19 patients ranging between 18 and 60 years of age included in this study. They were treated by intramedullary nail through medial anterograde technique. Clinical and radiological assessments performed at 3rd week and 6th week and 3rd, 6th, and 12th month postoperatively. Outcomes and complications compared to 1-year follow-up. Results: Good result achieved regards to functional outcome after fracture union. Although lower blood loss, less duration of hospital stay, and better cosmetic appearance noted in the nailing group done through medial anterograde method. Constant shoulder scores were fairly good after 6 months of follow-up. Infection and revision surgery (nonunion) rates were insignificant in nailing done through medial anterograde method group. Conclusions: Functional outcome remains fairly good in intramedullary nailing done through medial anterograde technique. Infection and complications were infrequent. Intramedullary nailing done through anterograde method is advantageous concerning better cosmetically appeared scars.
Authors and Affiliations
Vipul Agarwal, Chandra Prakash Pal, Amit Singh, Asif Hussain, Rajat Kapoor
Keywords
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