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Year : 2018  |  Volume : 38  |  Issue : 2  |  Page : 67-72

Flexible intramedullary nailing for fixation of displaced midshaft clavicle fractures

1 Department of Orthopedics, GMC, Patiala, Punjab, India
2 Department of Orthopedics, GMC, Amritsar, Punjab, India

Correspondence Address:
Dr. Hemant Kumar
Sh. Prem Kumar, Malarian Street, Near SBI Malerkotla, Sangrur, Punjab
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmedsci.jmedsci_51_17

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Introduction: Fracture of the clavicle is common in occurrence with incidence of approximately 5% of all fractures seen in hospital emergency. These fractures are generally managed conservatively. Titanium elastic nails are a promising minimally invasive treatment for displaced mid-clavicular fractures, which may be an alternative to plate fixation or even nonoperative treatment. Objective: The aim of this study was to assess the cosmetic outcome (malunion, asymmetry, and scar formation), rate of bone healing and alignment of the clavicle (<30° or > 30°) related to the flexible intramedullary nailing of midshaft fracture clavicle. Materials and Methods: Between June 2012 and June 2014 in GMC and Hospital Amritsar, 50 patients with displaced, noncomminuted fracture of midshaft clavicle of either side underwent flexible intramedullary nailing with titanium elastic nail. Implant removal was performed in 90% cases after the fracture united completely. Results: In this study, all fractures were united. Mean duration of radiological union was 10.3 weeks ranging from 6 to 20 weeks. Mean disabilities of arm shoulder and hand score after 6 months of follow-up was 7.7 ranging from 0.8 to 44.2. Mean constant self-evaluated score was 80.2 ranging from minimum 43 to maximum 98 after 6 months of follow-up. Conclusion: Flexible intramedullary nailing, a minimally invasive technique for stabilization of displaced midshaft clavicle fractures is a simple procedure with excellent functional outcome in terms of quick return to activities and a high patient satisfaction rate with very good cosmetic outcome.

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