Titanium elastic nails system (TENS) fixation in midshaft clavicular fractures – A prospective study
Journal Title: Indian Journal of Orthopaedics Surgery - Year 2018, Vol 4, Issue 4
Abstract
Introduction The clavicle is most frequently and easily fractured bone due to direct blow or fall on the outstretched hand With changing trends in treatment of midshaft clavicle fractures plating was one of the standard procedure remains for fixation Recent attracting alternative new technique of fixation is the titanium elastic nailing system 40TENS41 Due to lacking of prospective studies the present study was undertaken to assess effectiveness of minimally invasive method TENS for the treatment of midshaft clavicle fractureMaterials and Methods The study population included 30 patients exclusively with fracture of midshaft clavicle on plain radiographs from January 2014 to June 2015 at a tertiary care centre Most of cases were operated within 2448 hours after trauma Intra operatively image intensifier was used for monitoring the manipulations and maneuvering of the nails for closed reductions of the fractures Patients were followed for 6 months postoperatively and then titanium nails were removedResult Average age of the study population was 358 10 yrs Most cases were operated within 2448 hours after trauma In 24 cases closed reductions and nailing were done while in 6 cases open reductions and nailing were done Constant score was used to assess the clinical outcome of our patients after union of the fracture Clinical union was achieved in 35 weeks while radiographic union was achieved in 68 weeks There was no postoperative infection in this studyConclusion Operative interventions with TENS showed better results in regards to early functional recovery The specific advantages of TENS over plating are that it is minimally invasive needs lesser operative time and early mobilizationKeywords Clavicle fracture Titanium Elastic Nailing TENS Closed reduction Open reduction
Authors and Affiliations
Shirish Virupanna Tumbal
Keywords
Related Articles
- EP ID EP476698
- DOI 10.18231/2395-1362.2018.0074
- Views 101
- Downloads 0
How safe is the patient in the orthopedic OT? – An evaluation of compliance of surgical safety checklist
Patient safety is of paramount importance especially in the present day scenario It has emerged as a new discipline One of the ways of ensuring this in the operating theatre is by following a surgical safety check list g...
Stress fracture in club foot
Stress fracture is rare in children. It is mostly described in adolescent involved in sports, athletics or dancing. Stress fracture in club foot is extremely rare; it might be due to the altered anatomy and may be a sour...
Epidemiological analysis of elbow fractures in Kashmiri children
Background: The aim of this study was to look at the epidemiology of elbow fractures in children in Kashmir region who were treated at a major trauma institute, the hospital for Bone and Joint Surgery Srinagar for two ye...
The outcome of suspension arthroplasty in Thumb Carpometacarpal joint arthritis
The trapeziometacarpal joint is most often affected by primary osteoarthritis or post-traumatic arthritis. The aims and objectives of the study was to evaluate the subjective and objective results of thumb carpometacarpa...
Study on effectiveness of retrograde nailing with long intramedullary supracondylar nail for shaft and supracondylar fractures of femur
Introduction Due to modern lifestyle changes the incidence of distal femur fractures has risen and more so in association with shaft fractures of femur because of fast world and high velocity trauma occurring in road tra...