Comparative Analysis on the Functional Outcome Following Internal Fixation of Midshaft Clavicle Fractures with Plate against Titanium Elastic Nail
Journal Title: Journal of Medical Science And clinical Research - Year 2015, Vol 3, Issue 12
Abstract
Introduction: Injuries around the shoulder resulting in clavicle fractures accounts for about 5% to 10% of all the fractures. When we consider the shoulder girdle injuries alone, clavicle fractures accounts for about 50% of all the shoulder injuries. It still is a debate whether to treat conservatively or by means of internal fixation. Objectives: Our objective was to compare the functional outcome of internal fixation of displaced midclavicular fractures treated by plating and titanium elastic nailing technique by retrospective analysis. Materials and method: 72 patients who had displaced midclavicular fractures and undergone internal fixation with either by plating or TENS at our institute (Mahatma Gandhi Medical College and research institute) from 2012 January to 2015 January were included and divided into two groups and the results were compared. Results: Analysis was done comparing the functional outcome based on age, type of fracture, fracture healing time, implant related complications and ASES, Quick DASH. Both groups had good union at the fracture with no delayed or non-union. TENs group had the advantage of shorter operative time, less blood loss, minimal scar, very few implant related complications. Long term results were comparable in both the groups. Conclusion: Our retrospective comparative analysis of internal fixation of displaced mid-third clavicle fractures by plating and TENs shows that long term results are comparable in both the groups though TENs group had the advantage of shorter operative time, less blood loss, minimal scar, very few implant related complications.
Authors and Affiliations
M. Chandrasekaran
Keywords
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