A PROSPECTIVE STUDY OF FUNCTIONAL OUTCOME OF DISPLACED MIDSHAFT CLAVICLE FRACTURES TREATED WITH INTRAMEDULLARY TITANIUM ELASTIC NAIL SYSTEM
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 1
Abstract
BACKGROUND Clavicle fractures are 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. Whereas 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 in the clavicle occurs at the middle third which accounts for almost 80% of all clavicle fractures. Displaced midshaft clavicle fractures can cause significant, persistent disability, even if they heal uneventfully. The clavicle which is similar to other long bones is usually best treated with intramedullary methods. So elastic stable intramedullary nailing (ESIN) is recommended for all simple displaced midshaft clavicle fractures in order to minimise the rate of delayed union, non-union, symptomatic malunion and other complications. MATERIALS AND METHODS This is a prospective case series to study the functional outcome of 40 cases of displaced midshaft clavicle fractures, satisfying the inclusion criteria, treated by intramedullary titanium elastic nail system done at the Department of Orthopaedics, Government Kilpauk Medical College Hospital, Chennai from September 2013 to July 2015. All cases were treated with TENS under the guidance of the image intensifier as per standard methods. RESULTS In the group, 24 patients had AO class B1 and 16 had AO class B2 fractures. All the patients achieved clinical and radiological union at a mean of 8.8 weeks (Range 6-12 weeks). Eleven of the 24 patients had closed nailing while 16 patients (40%) required open reduction of their fracture. The average size of the titanium flexible nail used was 2.5 mm (range 2 -3 mm). The average constant score was 89.8 (range 78 – 95). CONCLUSION From this study, we recommend the use of minimally invasive antegrade titanium elastic nail for fixation of displaced midshaft clavicle fractures in view of faster fracture union, quicker rehabilitation, lesser morbidity, easier implant removal and fewer complications.
Authors and Affiliations
Kolundan Kalyanasundaram, Selvam Sasi Kumar, Anbu Srinivasan, Balusamy Ramesh
Keywords
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- EP ID EP283347
- DOI 10.14260/jemds/2018/20
- Views 57
- Downloads 0
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