Titanium elastic nails system (TENS) fixation in midshaft clavicular fractures – A prospective study
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction The clavicle is most frequently and easily fractured bone due to direct blow or fall on the outstretched hand With changing trends in treatment of midshaft clavicle fractures plating was one of the standard procedure remains for fixation Recent attracting alternative new technique of fixation is the titanium elastic nailing system 40TENS41 Due to lacking of prospective studies the present study was undertaken to assess effectiveness of minimally invasive method TENS for the treatment of midshaft clavicle fractureMaterials and Methods The study population included 30 patients exclusively with fracture of midshaft clavicle on plain radiographs from January 2014 to June 2015 at a tertiary care centre Most of cases were operated within 2448 hours after trauma Intra operatively image intensifier was used for monitoring the manipulations and maneuvering of the nails for closed reductions of the fractures Patients were followed for 6 months postoperatively and then titanium nails were removedResult Average age of the study population was 358 10 yrs Most cases were operated within 2448 hours after trauma In 24 cases closed reductions and nailing were done while in 6 cases open reductions and nailing were done Constant score was used to assess the clinical outcome of our patients after union of the fracture Clinical union was achieved in 35 weeks while radiographic union was achieved in 68 weeks There was no postoperative infection in this studyConclusion Operative interventions with TENS showed better results in regards to early functional recovery The specific advantages of TENS over plating are that it is minimally invasive needs lesser operative time and early mobilizationKeywords Clavicle fracture Titanium Elastic Nailing TENS Closed reduction Open reduction
Authors and Affiliations
Shirish Virupanna Tumbal
Keywords
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- EP ID EP476698
- DOI 10.18231/2395-1362.2018.0074
- Views 98
- Downloads 0
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