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Minimally invasive technique of midshaft clavicle fracture fixation by titanium elastic nail

Author: 
Dr. Deepak Srivastav, Mithlesh Kumar and Dr. Arpita Mohan
Subject Area: 
Health Sciences
Abstract: 

Introduction: Fractures of the clavicle account for 2.6–4 % of all adult fractures, 35 % of all injuries to the shoulder girdle, and 69–82 % of these fractures occur in the middle-third and are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to evaluate the clinical, functional and radiological outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement. Materials and Methods: 50 patient with mid shaft clavicular fracture, which met inclusion criteria, were fixed with titanium intramedullary elastic nail under image intensifier control between July 2013 and June 2017. There were 33 males and 17 females. The mean age was 33 years. Elastic nail introduce from 1cm lateral to sternoclavicular joint to fix the fracture. Outcomes assessed on the basis of Constant score. Results: All patients achieved complete healing at a mean of 10.3 weeks.17 fracture reduced by closed means but 33 needs open reduction. Common size of elastic nail used was 2mm. no major complication was recorded all were minor and can be taken care off. Most common was pin tract infection recorded in 35 patients. 76% had excellent result and 24% had good result. 100% had nail removal. Conclusion: In our hands, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome.

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