Study of Functional Outcome in Midshaft Clavicle Fracture Treated With Titanium Elastic Nailing System

Volume 8 | Issue 2   | Aug – Sep 2020 | Page: 22-27 | Sreejith Thampy J, Arun H S, Prabhu E, Hariprasad S

Authors: Sreejith Thampy J [1], Arun H S [1], Prabhu E [1], Hariprasad S [1]

[1] Department of Orthopaedics, Sri Devaraj Urs Medical College, Kolar, Karnataka.

Address of Correspondence
Dr. Arun H S,
Department of Orthopaedics, Sri Devaraj Urs Medical College, Kolar, Karnataka.


Purpose: Conservative methods were commonly used for midshaft clavicle fracture treatment, but with complications such as non-union, malunion, and shoulder asymmetry. Early surgical treatment for midshaft clavicular fractures could greatly reduce the same. Open reduction and internal fixation with plate and intramedullary fixation are the commonly used surgical techniques. Plating was considered as the gold standard in view of firm fixation and early rehabilitation, but with larger incision and soft-tissue exposure. Intramedullary fixation has been favored for its small incision, less periosteal striping, faster union, and less operating time. Here, we assess the functional outcome following titanium elastic nailing system (TENS) application.
Methodology: It is a prospective cohort study (evidence level II), 60 patients fitting as per inclusion and exclusion criteria presenting to our orthopedic department from July 2017 to May 2019 are included in the study after obtaining informed consent.
Results: Among 60 patients treated with TENS, excellent functional outcome was seen in 50 patients (83.3%) by the 3rd month and 54 (90%) by the 6th month using Constant and Murley scoring system. In our study, 66.6% of cases had union by the 3rd month and rest all by 6 months.
Conclusion: TENS should be considered as primary option for midshaft clavicle fracture with mild-to-moderate comminution.
Keywords: Midshaft clavicle fracture, Locking compression plate, Titanium elastic nailing system, Intramedullary nailing, Closed reduction and nailing, Mini-open incision.


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How to Cite this article: Thampy JS, Arun H S, Prabhu E, Hariprasad S | Study of Functional Outcome in Midshaft Clavicle Fracture Treated With Titanium Elastic Nailing System | Journal of Karnataka Orthopaedic Association | August-September 2020; 8(2): 22-27.

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