scholarly journals Titanium Elastic Nail versus plate fixation of displaced midshaft clavicle fractures: A retrospective comparison study

2015 ◽  
Vol 31 (9) ◽  
pp. 473-479 ◽  
Author(s):  
Ying-Chun Wang ◽  
Yin-Chih Fu ◽  
Shih-Hsiang Chou ◽  
Ping-Cheng Liu ◽  
Yin-Chun Tien ◽  
...  
2020 ◽  
pp. 221049172097518
Author(s):  
Vineet Thomas Abraham ◽  
Chandrasekaran Marimuthu

Purpose: Fixation of displaced midshaft clavicle is well known to decrease nonunion, malunion and shoulder disability as compared to nonoperative treatment. This study was done to compare the clinical and functional outcome of group 1 clavicle fractures treated with anatomic locking plates (ALP) versus Titanium elastic nail (TEN). Methods: We studied patients presenting with displaced midshaft clavicle fractures treated with ALP or TEN. The study period was from Jan 2013 to Dec 2016. Patients were reviewed and at each visit clinical and radiological progress of union was noted, complications if any were noted, functional assessment was done using the quick Dash score and Constant Murley score. Results: A total of 116 patients met our inclusion criteria. 62 patients were treated with TEN and 54 with ALP. Bony union was achieved at an average of 11.8 weeks in the TENS group and 12.8 weeks in the ALP group post operatively and this was found to be significant. The mean postoperative Constant Murley score in the ALP and the TEN groups were 92.8 (range 80–97), and 93.7 (82–97) respectively. The mean postoperative quick dash score in the ALP and TEN groups were 2.48(range from 0 to 6.8) and 2.1 (range 0–9.1) respectively. Conclusion: Both Anatomical locking plate and TEN are good options for the treatment of non-comminuted mid clavicular fractures as they have a similar functional outcome. TEN nail insertion has the advantage of being minimally invasive, having a faster union time and may be recommended in midshaft clavicle fractures without comminution.


2016 ◽  
Vol 07 (02) ◽  
pp. 49-53
Author(s):  
Hrushikesh Saraf ◽  
Sarang Kasture

2013 ◽  
Vol 33 (3) ◽  
pp. 232-238 ◽  
Author(s):  
Ying Li ◽  
Benton E. Heyworth ◽  
Michael Glotzbecker ◽  
Mark Seeley ◽  
Catherine A. Suppan ◽  
...  

2012 ◽  
Vol 21 (4) ◽  
pp. 495-501 ◽  
Author(s):  
Yun-Feng Chen ◽  
Hai-Feng Wei ◽  
Chi Zhang ◽  
Bing-Fang Zeng ◽  
Chang-Qing Zhang ◽  
...  

2014 ◽  
Vol 48 (6) ◽  
pp. 587 ◽  
Author(s):  
Partha Saha ◽  
Prasenjit Datta ◽  
Saankritya Ayan ◽  
AnantKumar Garg ◽  
Utpal Bandyopadhyay ◽  
...  

Author(s):  
Mallepogu Kiran Kumar ◽  
Rajana Siva Prasad

<p class="abstract"><strong>Background:</strong> Clavicle fractures are most common injuries in young and active individuals, especially those who participate in sports where high-speed falls (e.g., bicycling, motorcycles) or violent collisions (e.g., Football, hockey) are frequent. In contrast, in children and elderly, they are related to falls, and they account for approximately 2.6% of all fractures. The most common site of fracture is a middle-third shaft; it accounts for 80% of all clavicle fractures.</p><p class="abstract"><strong>Methods:</strong> This was a prospective study carried in 20 patients with simple mid third clavicular fractures, who were treated with closed intra-medullary fixation with TENS nailing. Post-operatively range of movements, ability to get back to routine work were assessed and noted.  <strong></strong></p><p class="abstract"><strong>Results:</strong> At the end of the study, all the 20 patients in the follow-up group with 14 male and 6 female patients. The mean age was 34.9 years (between 22-55 years) in the group. The mean time interval between injury and surgery was 3.55 days (range 1-6 days). All the patients are achieved clinical and radiological union at a mean of 8.6 weeks (range, 6-12 weeks).</p><p class="abstract"><strong>Conclusions:</strong> Thus, the intramedullary fixation of a displaced midshaft clavicle fracture is a safe minimally invasive technique. The present study advises the use of minimally invasive antegrade titanium elastic nail for fixation of displaced midshaft clavicle fractures. Although, for comminuted fractures plating remains the procedure of choice.</p>


Sign in / Sign up

Export Citation Format

Share Document