BACKGROUNDThis prospective consecutive case series was done to evaluate indications, technical pearls and pitfalls and functional outcomes of Titanium elastic nailing system of displaced mid-clavicular fractures and the effectiveness of the Titanium elastic intramedullary nails in the surgical treatment of the mid-clavicular fractures in adults. MATERIALS & METHODSA total of 60 patients (45 male, 15 female) were included in this study. Constant score and radiographs were evaluated after 1 and 6 weeks, 3 months and 6 months in 60 patients. Mean age was 28 years. RESULTSLength of incision, operation time, blood loss and duration of hospital stay were significantly less. The average follow-up was 17 months. Mean operation time was 62 minutes. Open reduction through an additional small incision was necessary for some fractures. Mean hospital stay was 1.2 days. The Constant score averaged 80 after 1 week, 96 after 6 weeks and 98 after 6 months. Compared to the contralateral side, average shortening of the clavicle was 1.7 mm. CONCLUSIONTitanium Elastic Nailing System provided a good restoration of the length of the clavicle allowing immediate active mobilisation and early return to normal activity with excellent functional results.
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