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Management of Clavicular Midshaft Fractures with Help of Titanium Elastic Nails

Bimal Modi, Assistant Professor, Department of Orthopedics, GMERS Medical College, Gandhinagar, Gujarat 382012, India. , Rupesh Gor1 , Bimal Modi2

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Journal of Orthopedic Education 4(1):p 29-33, Jan-Apr 2018. | DOI: http://dx.doi.org/10.21088/joe.2454.7956.4118.5

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Abstract

Background and Aim: There exists controversy on the treatment of displaced midshaft clavicle fractures. Such type of treatment included non operative as well as operative type. Hence forth the present study was performed with the aim to analyze the use of elastic, stable intra medullary titanium nails as a new invasive procedure. Materials & Methods: The totals of 40 cases with clavicle fracture were included in the study. The present study is randomized control trial. Out of 40 cases; 20 cases were treated conservatively and 20 cases were treated with intramedullary nailing. Follow up of the cases were taken in 4th, 8th, 12th week, 6th month and 12th month. Time taken for the union of the fracture was calculated radio graphically; functional outcome was measured utilizing Constant Murley Shoulder score. Result: At the end of the study when the comparison was done it was found that union of fracture by intra medullary nail group had less time as compared to conservative group. The difference was found to be statistically significant. Difference of functional outcome at regular interval follow up was also found to be significant. Conclusion: It is concluded that intra medullary nail treatment outcome is secure invasive surgical method with early union, quick return to routine work and lesser difficult faced.

Keywords: Clavicle; Conservative; Fracture; Intra Medullary Nailing.

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DOI: http://dx.doi.org/10.21088/joe.2454.7956.4118.5

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