Clinical outcomes of titanium elastic nailing system for middle third clavicular fracture

Abstract

Aim: Clinical outcome of displaced middle third clavicular fracture using intramedullary fixation by titanium elastic nail. Materials and Methods: 20 cases of displaced middle third clavicular fracture underwent closed reduction internal fixation with Intra medullary fixation by titanium elastic nail. The study was conducted from July 2020 to August 2022 admitted to Narayana Medical College and hospital, Nellore. We evaluated the Constant score to determine the outcomes.Results: All fractures got united in our study. Average time taken for full clinical and radiological union was 11.8 weeks (Range 10- 14 weeks).There were no major complications noted. Average Constant Score at final follow up was 95.16.Conclusion: Minimally invasive fixation with TENS is a safe method and can be performed with minimal complications. This method of fixation of displaced middle third clavicular fractures should result in less soft tissue injury, shorter operating time, satisfactory stabilization, a good cosmetic appearance, quick pain relief, early return to work and easy implant removal under local anaesthesia as an outpatient department procedure.