Functional And Radiological Outcome Of Midclavicular Fractures Treated With Titanium Elastic Nailing
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2017, Vol 3, Issue 1
Abstract
BACKGROUND AND OBJECTIVE Our objective was to evaluate clinical and radiological outcomes ofMidclavicular fractures treated with Titanium elastic nailing. MATERIALS AND METHODS The clinical study was a prospective study of 30 mid clavicularfractures treated with titanium elastic nail from June 2011 to September 2015. RESULTS Before surgery the average Quick DASH score of the patients was 49.6 (range 45 to 55). After surgery on day 2, 7and 30 the average Quick DASH score were 8 (range 5-11) 5(range1-9) and less than 2 (range 0-2).The mean time for fracture union clinically was 7 weeks. The mean time for fracture union radiologically was 12 weeks.The complications observed were medial nail migration in one patient and mild skin irritation at the nail insertion site in one patient. CONCLUSION Clavicle fractures are commonly treated either by conservative method or open reduction and internal fixation with plate osteosynthesis. Due to the poor functional outcome and complications of conservative treatment and plate osteosynthesis, Intramedullary nailing with Titanium elastic nail is preferred in the treatment of displaced mid clavicle fractures. Titanium elastic nailing of displaced mid clavicular fractures is an effective minimally invasive technique with least complications and excellent functional outcome.
Authors and Affiliations
L Kumar, Selva kumar, O Obulivijayshankar
Keywords
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