scholarly journals A study on the outcome of displaced midshaft non-comminuted clavicle fractures treated with anatomical locking plate versus titanium elastic nail

2020 ◽  
pp. 221049172097518
Author(s):  
Vineet Thomas Abraham ◽  
Chandrasekaran Marimuthu
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Plate Versus ◽  
Dash Score ◽  
Titanium Elastic Nail ◽  
Constant Murley Score ◽  
Elastic Nail ◽  
Clavicle Fractures ◽  
The Mean ◽  
Quick Dash

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.

scholarly journals Anatomical plating versus titanium elastic nailing for displaced midshaft clavicle fractures: a prospective comparative study

2021 ◽  
Vol 7 (2) ◽  
pp. 278
Author(s):  
Ashish Philip ◽  
Shishir Murugharaj Suranigi ◽  
Lingaraj . ◽  
Kanagasabai Rengasamy ◽  
Syed Najimudeen
Keyword(s):  
Functional Outcome ◽  
Plate Fixation ◽  
Minimal Invasive ◽  
Dash Score ◽  
Randomised Study ◽  
Titanium Elastic Nailing ◽  
Significant Difference ◽  
Prospective Comparative Study ◽  
Clavicle Fractures ◽  
The Mean

<p><strong>Background:</strong> Plate fixation has become the standard operative method for fixing displaced midshaft clavicle fractures. Over the years, TENS has also gained lot of attention due to its minimal invasive nature, smaller scar and reduced operative time. The purpose of this study was to compare the functional outcome of middle third displaced clavicle fractures treated either by plate or intra medullary TENS fixation using Constant Murley score and disability of the arm, shoulder and hand score.</p><p><strong>Methods: </strong>A prospective randomised study was conducted from January 2010 to September 2016 at our institute on patients with displaced midshaft clavicle fractures.<strong> </strong>A total of 56 patients (TENS; n=25, plating; n=31), classified according to orthopaedic trauma association classification underwent midshaft clavicle fixation. They were followed-up for a minimum period of 1 year.<strong></strong></p><p><strong>Results: </strong>Length of the scar in the TENS group was significantly smaller when compared to the incision in the plating group (1.86±1.23 and 11.01±3.29 cms respectively, p&lt;0.001). The Constant shoulder score measured at the end of 1 year was 90.77±9.01 for the TENS group and 92.63±6.04 for the plating group, not significant statistically (p=0.269). The mean DASH score was also not significantly different (p=0.552) between the TENS group and the plating group, at 6.01±11.09 and 6.32±10.33 respectively.<strong></strong></p><p><strong>Conclusions:</strong> In comparison with plate fixation, the nailing procedure is less invasive, requires smaller incisions and has a shorter duration of hospital stay with no statistically significant difference in terms of functional outcome. Hence, TENS technique is recommended for the fixation of displaced mid-shaft non-/minimal comminuted clavicular fractures, especially for young individuals and can be used as an alternative to plate fixation.</p><p class="abstract"> </p>

Outcome following management of unstable lateral end clavicle fractures with locking plate and coracoid anchor augmentation

2021 ◽  
pp. 175857322098170
Author(s):  
Karthik Karuppaiah ◽  
Ahmad Bilal ◽  
Toby Colegate-Stone ◽  
Joydeep Sinha ◽  
Ramon Tahmassebi ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Locking Plate ◽  
Plate Fixation ◽  
Open Reduction Internal Fixation ◽  
Implant Removal ◽  
Dash Score ◽  
Articular Fractures ◽  
Clavicle Fractures ◽  
Ligament Disruption

Background Management of complex lateral end clavicle fractures with coraco-clavicular ligament disruption can be challenging. Methods We prospectively analysed 19 (17 M:2F) patients from January 2014 to June 2016. Six patients had intra-articular fractures (Edinburgh-3B2) and the remaining were extra-articular (3B1). All patients had open reduction internal fixation with lateral end locking plate augmented with a coracoid anchor. All patients were evaluated at the final follow-up by American Shoulder and Elbow Surgeon score (ASES), Disabilities of the Arm, Shoulder and Hand (DASH), Oxford Shoulder Score (OSS), return to work, sports and radiographs. Results At a mean follow-up of 54 months (range 37–64), 19 patients were available for analysis. Mean age of patients was 34 years (range 24–65). At final follow-up DASH score was 1.66 (range 0–5); ASES score was 98.14 (93.3–100) and OSS was 46.6 (42–48). There was no difference in the functional outcome between 3B1 and 3B2 fractures (DASH – p(0.51); ASES –  p(0.44); OSS – p(0.69)). All patients returned to preinjury level of function, sports and work. Five patients needed implant removal and three developed capsulitis that resolved with conservative treatment. Conclusion Locking plate fixation, augmented with coracoid anchor is an effective option in the management of these complex injuries. The need for implant removal is reduced (26%) and there is no difference in the functional outcome between 3B1 and 3B2 fractures.

scholarly journals Comparison of clinic-radiological and functional outcome of intra articular distal end radius fractures managed by volar locking plate versus external fixation

2021 ◽  
Vol 9 (8) ◽  
pp. 2324
Author(s):  
Pankaj Vir Singh ◽  
Gagandeep Singh ◽  
Tejpal Singh ◽  
Abdul Ghani ◽  
Zubair A. Lone
Keyword(s):  
Range Of Motion ◽  
Functional Outcome ◽  
External Fixator ◽  
Locking Plate ◽  
Plate Versus ◽  
Dash Score ◽  
Volar Locking Plate ◽  
Radius Fractures ◽  
Medical College ◽  
Articular Fractures

Background: Distal end radius (DER) fractures are most common fractures in upper limb. Intra articular fractures can be managed either by open reduction and internal fixation by volar locking plate or can be managed by closed reduction and external fixator application or by percutaneous pinning. The purpose of our study was to compare the functional outcome of volar locking plate with that of external fixation.Methods: A prospective cohort study was conducted between June 2019 to June 2020 in Government Medical College, Jammu on 46 patients with intra articular distal end radius fractures. Of which 26 were managed by volar locking plate and 20 were managed by external fixator. the results of both groups were compared on the basis of radiological parameter and range of motion achieved post operatively. The functional outcome was evaluated using DASH score and Gartland–Werley scale. Results: Final range of motion, grip strength were better in patients managed with volar locking plate (VLP) as compared to those who were managed with external fixator (EF). Radiographically, volar tilt, radial height were all better in VLP group than EF.Conclusions: We concluded that VLP is superior method to maintain reduction till the union occurs and prevents the fracture collapse in intra articular distal end radius fractures as compared with external fixator. Thus, giving better functional and radiological outcome than the external fixator.

scholarly journals Management of lateral end clavicle fractures-using lateral clavicle locking plate: a prospective study

2019 ◽  
Vol 6 (1) ◽  
pp. 139
Author(s):  
Nageswara Rao V. ◽  
Ravichandra V. ◽  
Lavanya K. M. ◽  
C. Ganapathi Swamy
Keyword(s):  
Prospective Study ◽  
Functional Outcome ◽  
Locking Plate ◽  
Fixation Method ◽  
Age Group ◽  
Lateral Clavicle ◽  
Joint Dislocations ◽  
Clavicle Fractures ◽  
The Mean ◽  
A Prospective Study

<p class="abstract"><strong>Background:</strong> Lateral end clavicle fractures are one of the common upper limb fractures. They constitute 21–28% of all clavicle fractures. Of these 10–52% is displaced fractures. The management of fractures of lateral end clavicle remains debated and challenging. The objectivbe of this study is to evaluate the functional outcome following surgical treatment of unstable/displaced (Neer type II lateral clavicle fractures, and acromio-clavicular joint dislocations Rockwood grade III to V) lateral end clavicle fractures using lateral clavicle locking plate.</p><p class="abstract"><strong>Methods:</strong> It is a prospective study conducted in the orthopaedics department of GSL Medical College and General Hospital for a period of 3 years (April 2016 to March 2019) among a total of 60 patients.<strong></strong></p><p class="abstract"><strong>Results:</strong> About 23 (38.3%) belonged to 41–50 years age group, followed by 16 (26.7%) to 31–40 years age group and 13 (21.7%) to &gt;51 years age group and 8 (13.3%) to 18–30 years age group. The time from trauma to surgery ranged from 0-15 days with a mean of 5 days and the mean operating time was 41 minutes ranging between 23-70 minutes. Mean duration to union was 13.33±2.126 weeks and the mean Constant Murley score was 88.56. Functional outcome at 6 months follow up was excellent in 8 (13.3%), good in 37 (61.7%), fair in 13 (21.7%) and poor in 2 (3.3%) patients.</p><p class="abstract"><strong>Conclusions:</strong> Although there is no consensus as to a “gold standard” fixation method for unstable distal clavicle fractures, satisfactory outcomes could be obtained using the lateral clavicle locking plate resulting in sufficient stabilization and good functional outcome.</p>

scholarly journals Plate versus titanium elastic nail in treatment of displaced midshaft clavicle fractures A comparative study

2014 ◽  
Vol 48 (6) ◽  
pp. 587 ◽  
Author(s):  
Partha Saha ◽  
Prasenjit Datta ◽  
Saankritya Ayan ◽  
AnantKumar Garg ◽  
Utpal Bandyopadhyay ◽  
...  
Keyword(s):  
Comparative Study ◽  
Plate Versus ◽  
Titanium Elastic Nail ◽  
Elastic Nail ◽  
Clavicle Fractures

scholarly journals A prospective study of functional outcome of closed displaced mid-shaft clavicle fractures treated with intramedullary titanium elastic nail system

2020 ◽  
Vol 6 (4) ◽  
pp. 735
Author(s):  
Mallepogu Kiran Kumar ◽  
Rajana Siva Prasad
Keyword(s):  
Minimally Invasive ◽  
Prospective Study ◽  
High Speed ◽  
Invasive Technique ◽  
Time Interval ◽  
Titanium Elastic Nail ◽  
Elastic Nail ◽  
Clavicle Fractures ◽  
The Mean ◽  
A Prospective Study

<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>

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