Functional Evaluation of Elastic Intramedullary Nailing For Mid Shaft Clavicle Fractures.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 5
Abstract
Background:Elastic, stable intramedullary nailing(ESIN) with titanium nails is a promising minimally invasive treatment for displaced mid clavicular fractures, whichmay be an alternative to plate fixation (ORIF) or even non operative treatment. We describe the surgical technique and outcome in 10 patients. Patients And Method: We treated 10 patients between 25 yrs to 50yrs who had displaced midclavicular fractures with titanium elastic nails and observed for a period of 14 months. Nail was inserted through a 1.5cm incision over the medial aspect of clavicle, 2cm away from the sternoclavicular joint. In all the patients we reduced the fracture with a 1.5cm-2cm over the fracture site. Results And Complications: Significant union was reported approximately at the end of 6weeks. There was no cases of nonunion. Malunion was reported in two cases. Misplaced nail was observed in two of the cases and revision nailing was done in one of the cases. Skin irritation at the medial entry point was observed in three of the patients. All the patients were followed twice weekly until 3 months and implant exit was done in six of the patients.
Authors and Affiliations
Dr. C. Balaji Ms Ortho
Keywords
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- EP ID EP373920
- DOI 10.9790/0853-1705020103.
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