Comparative Study of Postoperative Outcomes of Clavicle Midshaft Fracture Treated by Nailing vs. Plating

Yadav, Siddharth; Phalak, Mukesh; Shevate, Ishan; Salunkhe, Rahul R.; Khandge, Ashwinkumar; Deshmukh, Ashwin; Patel, Shivam; Patil, Gaurav L

doi:10.7759/cureus.22862

Cited by 3 publications

(1 citation statement)

References 26 publications

(36 reference statements)

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“…On the basis of these findings, the authors concluded that both plating as well as nailing provided good functional outcome and permitted early return to occupational activities. Yadav et al (2022) [23] "performed closed/open reduction and internal fixation in 62 patients (40 male and 22 female) with TENs and locking plates, respectively, which were followed up at regular intervals following the surgery (at two, six, 12, 24, and 48 weeks). The surgical outcome was assessed both from functional and radiological standpoints.…”

Section: Introductionmentioning

confidence: 99%

Utility of tens nail and planting for fracture of mid shaft clavicle fracture: A narrative review

Devakumar¹,

khader²,

Mohanraj³

et al. 2023

Int. J. Orthop. Sci.

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To treat midshaft clavicle fractures using open reduction with internal fixation and titanium elastic nailing system. The purpose of this review article is to narrate various difficulty encountered in patients with midshaft clavicle fracture. Method: An extensive search of all materials related to the topic was done for 25 years in Google Scholar and many more search engines. Overall, 20 articles focusing on the different aspects of mid shaft clavicle were identified and analyzed. Conclusion:As majority of article shows that, treatment of patients with midshaft clavicle fractures with TENS patients had an excellent success, compared with plating. Thus, we concluded that TENS is therefore superior to plating for the treatment of clavicular fractures.

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Section: Introductionmentioning

confidence: 99%

Utility of tens nail and planting for fracture of mid shaft clavicle fracture: A narrative review

Devakumar¹,

khader²,

Mohanraj³

et al. 2023

Int. J. Orthop. Sci.

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COMPARATIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME BETWEEN ORIF WITH PLATE AND CRIF/ORIF WITH TENs FOR MIDSHAFT DISPLACED CLAVICULAR FRACTURE: A RETROSPECTIVE STUDY

Sarkar

Saha

Mondal

et al. 2023

ijsr

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Introduction-Clavicle fracture constitutes about 44% of shoulder injuries and 2.6%-10% of all fractures. Undisplaced and minimally displaced fracture of clavicle are acceptably treated conservatively with Arm pouch or triangular sling and clavicular brace or gure of eight bandage. Conservative treatment for displaced fracture has risk of malunion, nonunion and cosmetic unacceptability. Different surgical measures were popularised to address this problems. Fixation by Locking Plate or intra-medullary TENs are current gold standard . This study aims to compare TENs and Plate xation for midshaft displaced clavicular fracture in terms of rate of union and functional outcome and complications on either methods. This retrospective comparative study analysed result of 53 patients Material And Methods- of clavicular fracture treated by TENs (21) or Plating (32) done at Department of Orthopaedics , Bankura Sammilani Medical College, Bankura between November 2020 to February 2022. Radiological outcome measured with Rate and Time of union assessed by skiagram and functional outcome measured by DISABILITIES OF THE ARM ,SHOULDER AND HAND (DASH) score. When compared to plate xation, TE Results- Ns had lesser Time of union the Functional outcome measured showed TENs having better average score than Plate xation. Both nding were statistically signicant. TENs had Conclusionlesser union time ,better functional outcome and comparative complications rate to plate xation. So, Midshaft Clavicular Fractures managed with TENs have comparative better result than clavicular plating.

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Surgical treatment options of displaced midshaft fractures of the clavicle in young adults: plate fixation versus intramedullary nailing

Kim,

Yoon,

Park

et al. 2024

Clin Shoulder Elb

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Background: This study aimed to compare the outcomes and complications of active young adults undergoing open reduction and plate fixation (ORPF) and intramedullary nailing (IMN) for displaced midshaft clavicle fractures (MCFs). Methods: A retrospective review was performed on all patients undergoing ORPF and IMN of complete MCFs at a single center between 2018 and 2022. Patients who were younger than 60 years with radiographic follow-up until union were included in the study. The mean age of the patients was 33.1 years. Outcome measures were achievement of union, time to healing, residual deformity, complications, and need for additional procedures.Results: Of 39 patients, 29 underwent ORPF and 10 underwent IMN. Plate fixation provided faster functional recovery in the first 6 months, but no difference was observed after 1 year. All fractures in the IMN group healed (100%), compared to 90% in the ORPF group (P=0.08). Mean time to union was 21±8.9 weeks and was significantly different between the two groups (P<0.01), with the ORPF group averaging 23.1 weeks and the IMN group 20.8 weeks. Nonunion rates were higher in the ORPF group (10.3%) than in the IMN group (0.0%), but the difference was not significant (P=0.10).Conclusions: Both methods restored patients to their pre-injury functional levels. However, IMN, with its higher healing rate, fewer required revision surgeries, and lower incisional numbness, appears to be the preferred method for treating MSFs without comminution in young adults.Level of evidence: III.

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Comparative Study of Postoperative Outcomes of Clavicle Midshaft Fracture Treated by Nailing vs. Plating

Cited by 3 publications

References 26 publications

Utility of tens nail and planting for fracture of mid shaft clavicle fracture: A narrative review

Utility of tens nail and planting for fracture of mid shaft clavicle fracture: A narrative review

COMPARATIVE STUDY OF FUNCTIONAL AND RADIOLOGICAL OUTCOME BETWEEN ORIF WITH PLATE AND CRIF/ORIF WITH TENs FOR MIDSHAFT DISPLACED CLAVICULAR FRACTURE: A RETROSPECTIVE STUDY

Surgical treatment options of displaced midshaft fractures of the clavicle in young adults: plate fixation versus intramedullary nailing

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