The role of open reduction and internal fixation in displaced mid shaft clavicle fractures using titanium elastic nail fixation

Abstract

The majority of clavicle fractures 80-85% occur in mid shaft of the bone where the typical compression forces applied to the shoulder and the narrow cross section of the bone combined and result in bony failure. The present study was carried out at Orthopaedics Department in Medical College. During this period 20 patients of clavicular fractures were treated surgically. General information like name, age, sex, occupation and address were noted. Then a detailed history was elicited regarding mode of injury like fall on the shoulder, Road traffic accident, direct injury to shoulder and fall on outstretched hand. In this study with mid shaft clavicle fracture 4 patients (20%) had medial cut end prominence under skin with skin irritation, 2 patients (10%) had delayed union due to fracture comminution and 1 patient (5%) had superficial skin infection which healed with regular dressings and appropriate antibiotics.