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Treatment Outcomes of Flexible Intramedullary Nailing in Fracture Shaft of Clavicle

Journal: International Journal of Science and Research (IJSR) (Vol.11, No. 4)

Publication Date:

Authors : ; ; ; ;

Page : 318-321

Keywords : Titanium Elastic Nail; Displaced mid-shaft clavicular fractures; Dash Score; Constant Murley score;

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Background: Nonsurgical treatment of midshaft clavicular fractures leads to unsatisfactory results such as nonunion, shortening and limited function of the shoulder. Till date, various implants have been developed for open reduction including intramedullary wires, screws, and plates, each of which having various complications such as blood loss, non-union, implant irritation. TENS fixation is rather a newer modality with less complication and good outcome and is a lesser researched topic, thus this study was carried out to further evaluate the outcomes. Materials and Methods: 34 displaced midshaft clavicular fracture patient were included in this study in which 10 patients were included retrospectively from a period of 2016-2018 and 24 patient were included prospectively from 2019 to 2021. Patients of mid shaft clavicular fracture were managed by TENS nail. Patients were followed up post operatively at 2 week, 6 week, 3 month, 6 month and at 12 month postoperatively. Outcome was measured by the Constant-Murley score, and DASH Score and fracture union. Secondary outcome was measured by operative time, wound size, cosmetic results and complications. Results: In this study, it was seen that mean Constant Murley score at 12 months duration was 94.88, mean DASH score was 7.45, mean union time was 9.5 weeks and mean operative time was 36.32 mins. However, DASH score was only measured after 8 weeks duration as overhead abduction was not advisable in view of rotation of fracture fragment. Conclusion: The use of TENS for fixation of displaced midshaft clavicle fractures is recommended in view of faster fracture union, lesser morbidity, better cosmetic results, easier implant removal and fewer complications.

Last modified: 2022-05-14 21:04:25