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.
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