Evaluation the outcomes of flexible intramedullary nailing fixation of displaced midshaft clavicle fractures
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2017, Vol 3, Issue 2
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.
Authors and Affiliations
Hemant Kumar, Ravinder K Banga, RS Boparai, Jaspal Singh
Keywords
Related Articles
- EP ID EP293926
- DOI 10.18231/2395-1362.2017.0039
- Views 120
- Downloads 0
Functional outcome of titanium elastic nailing in midclavicular fractures
Introduction With changing trends in the treatment of displaced midthird clavicle fractures more and more fractures are treated surgically Even though plating remains the gold standard minimally invasive technique with T...
The comparison of triceps reflecting anconeus pedicle and olecranon osteotomy approaches in the treatment of intercondylar fractures of the humerus
Introduction: Intercondylar fractures owing to complex anatomy of elbow joint and neurovascular structures in surrounding makes it difficult to treat. Operative techniques like open reduction and internal fixation helps...
Proximal femoral fixation nail in proximal femoral fractures- study on biomechanical forces causing implant failure
Objective: Purpose of this study is to evaluate biomechanical factors working around hip which leads to implant failure. Knowledge of these biomechanical forces may help in some modification in implant design or developi...
Multiple gouty tophi over hands-A Case Report
Gout is derived from gutta (Latin for drop), as it was believed in the 13th century that poison falling in drops into the affected joint caused gout. But, Gout is actually result of inflammatory response to deposition of...
Rhinosporidiosis with musculoskeletal manifestation: A case series
Rhinosporidiosis is a chronic granulomatous disease caused by Rhinosporidium seeberi It commonly affects young males and involves the mucous membranes of the nose nasopharynx and eyes Involvement of extranasal sites incl...