Functional Outcome Following Elastic Stable Intramedullary Nailing For Clavicle Fractures
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Mid-shaft fractures of the clavicle are one of the most common injuries of the human musculoskeletal system. It represents 4% of all fractures with an incidence of 64 per 100000 per year. It was historically treated conservatively with strapping or with plate and screw fixation. Recently, minimally invasive method using TEN was used to treat mid-shaft fractures for early mobilization, unless the fracture is grossly comminuted. Aims & Objectives: To assess the functional outcome following Elastic Stable Intramedullary Nailing (ESIN) for clavicle fractures. Materials & Methods: In our prospective interventional study from January 2014 to June 2015, 30 patients with mid-shaft fracture clavicle, who presented to Dept. Of Orthopaedics, Mahatma Gandhi Medical College & Research Institute, Puducherry, were treated with TEN using closed/mini-open reduction after pre-operative evaluation. Patients were followed up with quick DASH scoring system for functional assessment and radiological assessment for union at 6 months. Data obtained were arranged in tables and statistical analysis was done using Chi-square test. Results: In our study we evaluated the clinical and radiological outcome of patients with mid-shaft fractures of clavicle who were treated with Titanium Elastic Nail using closed/mini-open reduction. The result was presented in terms of age, gender, mode of injury, outcome following surgery and complications. Majority of the patients belonged to age group of 31-40years (40%). Most of the patients were male (87%). The mode of injury in majority of the patients was RTA (70%). Assessment of the outcome showed that there was union rate of 97% after surgery. Quick DASH Scoring was done on the patients reported as excellent in majority of the patients. Most (37%) of the complications noted in our study were minor like entry site adventitious bursitis due to hardware irritation with skin and only one (3.3%) had deep infection as a major complication. Conclusion: Elastic Stable Intramedullary Nail (TEN) can be considered as an excellent surgical option for treating patients with mid-shaft fracture of clavicle in terms of small incision, biological fixation, minimal blood loss, excellent union rate and minimal complications.
Authors and Affiliations
Sibasis sahu, Ravichandran S Ravichandran S, Surendra Kumar R, Krishna Gopal R
Keywords
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