Management Of Mid-Shaft Clavicle Fracture With Titanium Elastic Nail
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 1
Abstract
Background: Elastic, stable intramedullary nailing (ESIN) with titanium nails is a promising minimally invasive treatment for displaced midclavicular fractures, which may be an alternative to plate fixation (ORIF) or even nonoperative treatment. We describe the surgical technique and outcome in 27 patients. Methods: The nail was inserted at the medial inferior end of the clavicle in 24 patients and in the acromial end in 3 patients. An open fracture reduction via an additional small incision was necessary in 17 patients and closed manoeuvre was successful in 10. Implant removal was performed in 6 patients. Results: The functional status of 27 patients after 13 months reached 6.8 (0–43) points on the DASH score. The fracture healed in correct anatomical axis in 23 of 27 patients, 1cases ended in a nonunion. Implant migration of the nail occurred in 1 patients, who required early implant removal. Repeated nailing was necessary in 1 patient who had secondary dislocation after early nail removal. Interpretation: Flexible intramedullary nailing, a minimally invasive technique for stabilization of displaced midshaft clavicle fractures, has minor risks and complications.
Authors and Affiliations
Mayank Bansal, Shubham Kejariwal
Keywords
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