Functional and Radiological Evaluation Of Clavicular Fractures Managed By Elastic Nailing: A Prospective Study

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.
E-mail: hudanajmul@gmail.com


Abstract:

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


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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.


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