Vol 35 | Issue 2 | May-Aug 2020 | page: 25-29 | Amit Saraf¹, Varun Singh¹, Najmul Huda¹
Authors: Amit Saraf¹, Varun Singh¹, Najmul Huda¹
¹Department of Orthopedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, UttarPradesh, India.
Address of Correspondence:
Dr. Najmul Huda,
Department of Orthopedics, Teerthanker Mahaveer Medical College and Research Centre, Moradabad, UttarPradesh, India.
Background: Middle one third fractures of the clavicle bone comprise around 80% of all clavicle fractures. Nonsurgical methods have been practiced for management of clavicle fracture, but with some problems like “non-union”, “mal-union” and shoulders asymmetry. Two surgical procedures are commonly used to repair displaced mid shaft clavicular fractures internally: plating& intramedullary nailing with titanium elastic nail (TEN). The choice of surgical treatment remains controversial but Intra-medullary nailing of the clavicle has been shown to have considerable benefits over other forms of fixation.
Materials & Methods: This prospective study was performed in Department of Orthopaedics at Teerthankar Mahaveer Medical College and Research Centre, Moradabad for duration of one year on patients with clavicular Fractures who were managed by Elastic Intra-medullary Nailing were enrolled in the research fulfilling, inclusion and exclusion criteria. The functional ability of shoulder was checked with DASH score for each follow-up. Radiological Assessment was done by checking – signs of Non Union.
Results: Total 22 patients of clavicular fractures managed by elastic nailing. The mean difference DASH Score at different follow up duration with respect to the mean DASH score at 4 weeks and the association was observed as statistically significant (p less than0.05). The final outcome of the studied patients and the majority of patients yielded good result (42.8%) followed by excellent (42.8%) result.
Conclusion: The intra-medullary fixation of clavicle fractures with TENS is a reliable, minimally invasive procedure in specific cases and provides good functional and cosmetic results in our research.
Keywords: Clavicle, Fracture, Intramedullary Nailing, DASH Score
1. Masatwar PV, Chishti SN, Singh SN, Maske RG, Soring D, Parija D. A prospective study of operative management of simple midshaft clavicular fracture with titanium elastic nail (TEN). IJOS. 2016;2(4):210-213.
2. Bithrey JW, JF van der Merwe. Outcomes of treatment of displaced midshaft clavicle fractures in adolescents using titanium elastic nails. SAOJ. 2017;16(3):55-61.
3. Mishra P K, Gupta A, Gaur S C. Midshaft Clavicular Fracture and Titanium Elastic Intramedullary Nail. Journal of Clinical and Diagnostic Research. 2014;8(1):129-132.
4. McGraw MA, Mehlman CT, Lindsell CJ, Kirby CL. Postnatal Growth of the Clavicle: Birth to Eighteen Years of Age. J Pediatr Orthop. 2009;29(8):937–943.
5. Edelson JG. The bony anatomy of clavicular malunions. J Shoulder Elbow Surg. 2003;12(2):17-
6. Beigang Fu. Minimally invasive intramedullary nailing of clavicular fractures by a new titanium elastic nail. Acta Orthopaedica et Traumatologica Turcica. 2016;50:494-500.
7. McGraw MA, Mehlman CT, Lindsell CJ, Kirby CL. Postnatal Growth of the Clavicle: Birth to Eighteen Years of Age. J Pediatr Orthop. 2009;29(8):937–943.
8. Shokouh HK, Naderi MN, and Shokouh MK. Treatment of Midshaft Clavicular Fractures with Elastic Titanium Nails. Trauma Mon. 2014;19(3):15623.
9. Kadakia AP, Rambani R, Qamar F, McCoy S, Koch L, and Venkateswaran BC. Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases. Int J Shoulder Surg. 2012;6(3):82–85.
10. Kumar H, Banga RK, Boparai RS, Singh J. Flexible Intramedullary Nailing for Fixation of Displaced Midshaft Clavicle Fractures. J Med Sci 2018;38(2):67‑72.
11. Kumar M, Mishra A, Kumar D, Singh A, Pandey D and Sinha AK. A comparative studyof displaced midshaft clavicle fracture managed by precontoured locking compressionplates and titanium elastic nails. International Journal of Orthopaedics Sciences 2018;4(2): 116-121.
12. Hartmann F, Hessmann MH, Gercek E, Rommens PM. Elastic intramedullary nailing of midclavicular fractures. ActaChir Belg. 2008;108(4):428-32.
13. Saha P, Datta P, Ayan S, Garg AK, Bandyopadhyay U, Kundu S. Plate versus titanium elastic nail in treatment of displaced midshaft clavicle fractures: A comparative study. Indian J Orthop. 2014;48(5):87-93.
|How to Cite this Article: Saraf A, Singh V, Huda N. Functional and Radiological Evaluation Of Clavicular Fractures Managed By Elastic Nailing: A Prospective Study.
Journal of Bone and Joint Diseases May-Aug 2020;35(2): 25-29.