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Comparative Studies | Orthopaedic Surgery | India | Volume 13 Issue 4, April 2024 | Rating: 4.9 / 10
A Prospective Comparative Study: Comparing Titanium Elastic Nailing to Anatomical Plating for Displaced Midshaft Clavicle Fractures
Dr. K Kasi Jaswanth | Dr. K Harikrishna Reddy | Dr. A. Sandeep [2]
Abstract: Background: The accepted surgical procedure for treating displaced midshaft clavicle fractures is plate fixation. TENS has also drawn a lot of attention over time because of its smaller scar, shorter recovery period, and minimally invasive nature. The Constant Murley score and the disability of the arm, shoulder, and hand score are used to determine the functional prognosis of middle third displaced clavicle fractures treated either by plate or intramedullary TENS fixing. Methods: At our institute, a prospective randomized trial involving patients with displaced midshaft clavicle fractures was carried out between May 2022 and April 2023. Midshaft clavicle fixation was performed on a total of 56 patients (TENS; n=25, plating; n=31), who were categorized by the Orthopaedic Trauma Association. They underwent follow - up for at least a year. Results: Scar length in the TENS group was small when compared to the incision in the plating group (1.86+1.23 and11.01+.3.29). At the end of 1 year the constant shoulder score measured for TENS group was 90.77+9.01 and for the plating group was 92.63+6.04, not significant statistically (p=0.269). The mean DASH score was also not significantly different (p=0.552) between the TENS group 6.01+11.09 and plating group 6.32+10.33 respectively. Conclusions: The nailing procedure requires small incision, less invasive and has shorter duration of hospital stay in comparison with plate fixation with no statistically significant difference in terms of functional outcome. Hence TENS technique is recommended for the fixation of displaced mid - shaft non/minimal comminuted clavicular fractures, especially for young individuals and can be used as alteranative to plate fixation.
Keywords: Clavicle plating, intramedullary clavicle nailing, middle 1/3?rd clavicle fractures, Titanium elastic nailing system
Edition: Volume 13 Issue 4, April 2024,
Pages: 563 - 568