Surgical fixation of displaced midshaft clavicle fractures: elastic intramedullary nailing versus precontoured plating

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• 作者：Nidhi Narsaria ; Ashutosh K. Singh ; G. R. Arun…
• 关键词：Displaced midshaft clavicle fractures ; Elastic intramedullary nailing ; Anatomical precontoured plating
• 刊名：Journal of Orthopaedics and Traumatology
• 出版年：2014
• 出版时间：September 2014
• 年：2014
• 卷：15
• 期：3
• 页码：165-171
• 全文大小：351 KB
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• 作者单位：Nidhi Narsaria (1)
  Ashutosh K. Singh (2)
  G. R. Arun (3)
  R. R. S. Seth (1)
  
  1. Mayo Institute of Medical Sciences, Barabanki, India
  2. Department of Orthopaedics, Mayo Institute of Medical Sciences, Barabanki, 226010, Uttar Pradesh, India
  3. Department of Orthopedics, Sri Mokambika Institute of Medical Sciences, Kulasekharam, Tamilnadu, India
  
• ISSN：1590-9999

文摘

Background This prospective comparative study was done to evaluate the effectiveness of implants of different design (titanium elastic intramedullary nail versus anatomical precontoured dynamic compression plate) in treatment of displaced midshaft clavicular fractures. Materials and methods Sixty-six patients between 18 and 65?years of age were included in this study. They were randomized in two groups to be treated with either elastic intramedullary nail (EIN) or plate. Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of both groups over 2?years of follow-up time were compared. Results Length of incision, operation time, blood loss and duration of hospital stay were significantly less for the EIN group. American Shoulder and Elbow Surgeons (ASES) and Constant Shoulder scores were significantly higher (p?p?=?0.045) in the plating group was observed. Infection and revision surgery rates were also higher in the plate group, but this difference was insignificant (p?>?0.05). Conclusions EIN is a safe, minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and comparable functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures. Level of evidence Level 2.