Functional and radiological evaluation of clavicular fractures managed by elastic nailing: A prospective study

Abstract

Background: Middle one third fractures of the clavicle bone comprise around 80% of all clavicle fractures. Nonsurgical methods have been practising for management of clavicle fracture, but with some problems like "non-union", "mal-union" and shoulder asymmetry. Two surgical procedures are commonly used to repair displaced mid sha clavicular fractures internally: plating & intramedullary nailing with titanium elastic nail (TEN). e choice of surgical treatment remains controversial but Intra-medullary nailing of the clavicle has been shown to have considerable bene ts over other forms of xation. Materials & Methods: is prospective study was performed in Department of Orthopaedics at Teerthankar Mahaveer Medical College and Research Centre, Moradabad for duration of one year on patients with clavicular fractures who were managed by Elastic Intra-medullary Nailing were enrolled in the research ful lling, inclusion and exclusion criteria.e functional ability of shoulder was checked with DASH score for each follow-up. Radiological Assessment was done by checkingsigns of Non Union. Results: Total 22 patients of clavicular fractures managed by elastic nailing. e mean difference DASH Score at different follow up duration with respect to the mean DASH score at 4 weeks was observed as statistically signi cant (p <0.05). e nal outcome was studied and the majority of patients yielded good result (42.8%) and excellent (42.8%) result. Conclusion: e intra-medullary xation of clavicle fractures with TENS is a reliable, minimally invasive procedure in speci c cases and provides good functional results and cosmetic results in our research.