Comparative Evaluation of Results after Internal Fixation of Fracture Clavicle by Titanium Elastic Nailing System/Plate
Journal Title: Journal of Bone and Joint Diseases - Year 2017, Vol 0, Issue 0
Abstract
Background: Fractures of clavicle are common injuries with incidence of 2.6-8% of all fractures and 44% of all shoulder injuries [1]. Aim: The aim of this study is to compare the results and complications of internal fixation with titanium elastic nailing system (TENS)/plates in displaced fracture midshaft of clavicle. Materials and Methods: In a prospective study from December 2014 to June 2016, we analyzed 62 patients of displaced fracture midshaft clavicle treated by TENS (31) (Group I) and plate and screws (31) (Group II). Average age in the two groups was Group I (30.22) and Group II (30.34). The majority of the patients were males (65%) in both groups. Mechanism of injury was road traffic accident (67.74%) which was most common others are fall from height and assault. According to Allman classification, all midshaft clavicle are Type I. Results: No significant difference was found in function and non-union rate in both groups but major complications and union time are more in plate fixation group than TENS group. Conclusion: Callus formation was early in TENS group, and healing was faster as compare to plate group. TENS is a safe, minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and comparable functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures.
Authors and Affiliations
Paras Gupta, Atul Kumar Vishwakarma, D. K. Gupta D. K. Gupta, Saurabh Agarwal, Neeraj Singh
Keywords
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