Intramedullary Fixation Of Middle-Third Clavicle Fractures Using Titanium Elastic Nails – A Retrospective Study
Journal Title: International Journal of Orthopaedics Traumatology & Surgical Sciences - Year 2016, Vol 2, Issue 0
Abstract
Background: Middle-third clavicle fractures in adults have traditionally been treated nonoperatively. Recent studies in the literature have shown a higher prevalence of symptomatic malunion, nonunion, and poor functional outcome after nonoperative treatment of displaced fractures. The purpose of this study was to evaluate the results of intramedullary fixation with titanium elastic nails of displaced middle-third clavicle fractures in adults. Materials and Methods: Adults who sustained closed middle-third clavicle fractures between Oct 2013 and Sep 2014 were identified in operation theatre register of our institution. Medical records were reviewed for patient demographics, injury characteristics, treatment, and outcomes. Results: Twenty-two consecutive patients (mean age 45.3y) with 23 closed middle-third clavicle fractures were identified. All twenty-two patients were treated operatively with titanium elastic nail. The average shortening at injury was 26.5mm in the operative group. Five fractures were reduced in closed manner and 18 fractures had to be opened at the time of operation. The mean time to radiographic union was 12.8 weeks. There were no nonunions. The mean time to return to activities was 16 weeks. Complications were reported in 8 patients. Second operation was required in 7 patients. Conclusions: Intramedullary fixation of displaced middle-third clavicle fracture reliably restores length and alignment. It resulted in shorter time to union with low complication rates. Most complications were related to symptomatic hardware.
Authors and Affiliations
B K Jain, Ashwini K Sharma
Keywords
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