scholarly journals Prospective comparative study of functional outcome of displaced midshaft clavicle fractures treated by locking plating versus minimally invasive titanium elastic nail fixation

2019 ◽  
Vol 5 (2.2) ◽  
pp. 142-150
Author(s):  
Parthasarathy M Pandian ◽  
Thulasiraman D ◽  
KM Vijay ◽  
Aravind MC
Keyword(s):  
Minimally Invasive ◽  
Comparative Study ◽  
Functional Outcome ◽  
Titanium Elastic Nail ◽  
Prospective Comparative Study ◽  
Elastic Nail ◽  
Clavicle Fractures

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 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>

scholarly journals Treatment of Displaced Mid-Clavicle Fractures by Closed Titanium Elastic Nail

2016 ◽  
Vol 07 (02) ◽  
pp. 49-53
Author(s):  
Hrushikesh Saraf ◽  
Sarang Kasture
Keyword(s):  
Titanium Elastic Nail ◽  
Elastic Nail ◽  
Clavicle Fractures

Revision Rate in Robotic-Guided vs Fluoro-Guided Minimally Invasive Spinal Fusion Surgery: Report from MIS ReFRESH Prospective Comparative Study

2017 ◽  
Vol 17 (10) ◽  
pp. S255 ◽  
Author(s):  
Samuel R. Schroerlucke ◽  
Michael Y. Wang ◽  
Andrew F. Cannestra ◽  
Christopher R. Good ◽  
Jae Y. Lim ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Comparative Study ◽  
Spinal Fusion ◽  
Revision Rate ◽  
Fusion Surgery ◽  
Spinal Fusion Surgery ◽  
Prospective Comparative Study

scholarly journals Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis

2019 ◽  
Vol 2019 ◽  
pp. 1-9 ◽  
Author(s):  
Enzhe Zhao ◽  
Rui Zhang ◽  
Dou Wu ◽  
Yao Guo ◽  
Qiang Liu
Keyword(s):  
Systematic Review ◽  
Minimally Invasive ◽  
Cohort Studies ◽  
Functional Outcome ◽  
Plate Osteosynthesis ◽  
Meta Analysis ◽  
Operation Time ◽  
Cochrane Library ◽  
Minimally Invasive Plate Osteosynthesis ◽  
Clavicle Fractures

Objective. The aim of this study was to compare the functional outcome and complications in midshaft clavicle fractures receiving minimally invasive plate osteosynthesis and conventional open plating. Methods. Relevant studies were searched in the databases of Medline, EMBASE, Cochrane Library, Ovid, and Web of Science from inception to March 1, 2019. Pooled data were analyzed with Cochrane Collaboration’s Review Manager 5.3. Results. A total of 7 studies were included, of which 2 were randomized controlled trials, 3 were retrospective cohort studies, and 2 were prospective cohort studies including 316 patients. No statistical differences in functional outcome (weighted mean difference [WMD] = 0.99, P=0.12), operation time (WMD = −10.44, P=0.07) and time to bone union (WMD = −0.23, P=0.70) were observed between the two groups. However, minimally invasive plate osteosynthesis reduced rates of skin numbness (odds ratio (OR) = 0.25, 95% CI : 0.13 to 0.48; P<0.0001) and complications (OR = 0.33, 95% CI : 0.16 to 0.71; P=0.005) compared with conventional open plating. Conclusion. This systematic review and meta-analysis found no differences in terms of functional outcomes, operation time, and fracture healing time between minimally invasive plate osteosynthesis and conventional open plating. However, minimally invasive plate osteosynthesis had apparent advantages in rates of skin numbness and complications.

Sign in / Sign up

Export Citation Format

Share Document