All Title Author
Keywords Abstract


Treatment of Displaced Mid-Clavicle Fractures by Closed Titanium Elastic Nail

DOI: 10.4236/ss.2016.72006, PP. 49-53

Keywords: Clavicle, Fracture, Closed, Titanium Elastic Nailing

Full-Text   Cite this paper   Add to My Lib

Abstract:

Introduction: Recently, intramedullary nailing for displaced middle third fractures of clavicle has received wide attention. Though open nailing has been widely described, closed nailing finds less mention. This paper therefore aims to study the outcome of closed titanium elastic nailing for displaced mid-clavicular fractures. Material and Methods: This was a prospective study of 34 patients with displaced middle third clavicle fracture who underwent closed intramedullary nailing with titanium elastic nail at a tertiary care centre. The operative time, length of incision, time for radiological union, pain and functional outcome after union were noted. Results: The mean operative time was 34.33 mins. The mean time of discharge was 2.25 days. The average time of radiological union was 10.23 weeks. All the patients achieved full, painless range of motion of the ipsilateral shoulder. The average Constant-Murley score at 12 months was 94.28 indicating excellent result. Conclusion: Closed titanium elastic nailing offers a safe and minimally invasive method of fixation for fractures of middle-third clavicle with excellent functional outcome.

References

[1]  Wijdicks, F.J., Van der Meijden, O.A., Millett, P.J., et al. (2012) Systematic Review of the Complications of Plate Fixation of Clavicle Fractures. Archives of Orthopaedic and Trauma Surgery, 132, 617-625.
http://dx.doi.org/10.1007/s00402-011-1456-5
[2]  Lee, Y.-S., Huang, H.-L., Lo, T.-Y., et al. (2008) Surgical Treatment of Midclavicular Fractures: A Prospective Comparison of Knowles Pinning and Plate Fixation. International Orthopaedics (SICOT), 32, 541-545.
http://dx.doi.org/10.1007/s00264-007-0352-7
[3]  Assobhi, J.E.H. (2011) Reconstruction Plate versus Minimal Invasive Retrograde Titanium Elastic Nail Fixation for Displaced Midclavicular Fractures. Journal of Orthopaedics and Traumatology, 12, 185-192.
http://dx.doi.org/10.1007/s10195-011-0158-7
[4]  Braun, K.F., Siebenlist, S., Sandmann, G.H., Martetschlager, F., Kraus, T., Schrodl, C., Kirchhoff, C. and Neumaier, M. (2014) Functional Results Following Titanium Elastic-Stable Intramedullary Nailing (ESIN) of Mid-Shaft Clavicle Fractures. Acta Chirurgiae orthopaedicae et Traumatologiae, 81, 118-121.
[5]  Chen, Y.-F., Zeng, B.-F., Chen, Y.-J., et al. (2010) Clinical Outcomes of Midclavicular Fractures Treated with Titanium Elastic Nails. Canadian Journal of Surgery, 53.
[6]  Marsh, J.L., Slongo, T.F., Agel, J., et al. (2007) Fracture and Dislocation Classification Compendium—2007: Orthopaedic Trauma Association Classification, Database and Outcomes Committee. Journal of Orthopaedics and Traumatology, 21, S1-S133.
http://dx.doi.org/10.1097/00005131-200711101-00001
[7]  Smekal, V., Oberladstaetter, J., Struve, P., et al. (2009) Shaft Fractures of the Clavicle: Current Concepts. Archives of Orthopaedic and Trauma Surgery, 129, 807-815.
http://dx.doi.org/10.1007/s00402-008-0775-7
[8]  Kleweno, C.P., Jawa, A., Wells, J.H., et al. (2011) Midshaft Clavicular Fractures: Comparison of Intramedullary Pin and Plate Fixation. Journal of Shoulder and Elbow Surgery, 20, 1114-1117.
http://dx.doi.org/10.1016/j.jse.2011.03.022
[9]  Chen, Y.F., Wei, H.F., Zhang, C., et al. (2012) Retrospective Comparison of Titanium Elastic Nail (TEN) and Reconstruction Plate Repair of Displaced Midshaft Clavicular Fractures. Journal of Shoulder and Elbow Surgery, 21, 495-501.
http://dx.doi.org/10.1016/j.jse.2011.03.007
[10]  Duan, X., Zhong, G., Cen, S., et al. (2011) Plating versus Intramedullary Pin or Conservative Treatment for Midshaft Fracture of Clavicle: A Meta-Analysis of Randomized Controlled Trials. Journal of Shoulder and Elbow Surgery, 20, 1008-1015.
http://dx.doi.org/10.1016/j.jse.2011.01.018
[11]  Liu, H.H., Chang, C.H., Chia, W.T., et al. (2010) Comparison of Plates versus Intramedullary Nails for Fixation of Displaced Midshaft Clavicular Fractures. Journal of Trauma-Injury Infection & Critical Care, 69, E82-E87.
http://dx.doi.org/10.1097/TA.0b013e3181e03d81
[12]  Smekal, V., Irenberger, A., Attal, R.E., et al. (2011) Elastic Stable Intramedullary Nailing Is Best for Mid-Shaft Clavicular Fractures without Comminution: Results in 60 Patients. Injury, 42, 324-349.
http://dx.doi.org/10.1016/j.injury.2010.02.033
[13]  Liu, P.C., Chien, S.H., Chen, J.C., et al. (2010) Minimally Invasive Fixation of Displaced Midclavicular Fractures with Titanium Elastic Nails. Journal of Orthopaedic Trauma, 24, 217-223.
http://dx.doi.org/10.1097/BOT.0b013e3181b8ba33
[14]  Kraus, T.M., Martetschlaer, F., Schrodl, C., et al. (2011) Elastic Stable Intramedullary Nailing of Clavicular Midshaft Fractures: Comparison of Open vs Closed Fracture Reduction. Article in German, Unfallchirurg.
[15]  Chen, P.Y., Lin, C.C., Wang, C.C., et al. (2004) Closed Reduction with Intramedullary Fixation for Midclavicular Fractures. Orthopedics, 27, 459-462.

Full-Text

comments powered by Disqus