Comparing the Functional outcome of Plate Fixation vs Elastic Intramedullary Nailing for Displaced fractures of the clavicle in the active adult population.
Dr. Sufiyan Shaikh
, Dr. Prafulla Herode , Dr. Kailash Ghorpade
Clavicle, Plate Fixation, TENS, Functional Outcome
Comparing the Functional outcome of Plate Fixation vs Elastic Intramedullary Nailing for Displaced fractures of the clavicle in the active adult population. Background: Displaced midshaft clavicle fractures have historically been treated conservatively. Nevertheless, there have been recent reports of poor results following conservative therapy for these fractures, including non-union of the fracture, shortening of the clavicle, or significant functional limitations.[2–3] In displaced midshaft clavicle fractures, clavicle length shortening of > 2 cm (i.e., no cortical contact between the proximal and distal pieces radiographically) is generally recognised as a criterion for surgical intervention.[4] The two implants that are most frequently utilised to treat displaced clavicle fractures are plates or intramedullary devices. Method: A comparative study was conducted of 18 months duration at Department of Orthopedics, Rural Medical College, Pravara Institute of Medical Science, Loni, Maharashtra on patients with displaced clavicle fractures. Inclusion criteria were: (1) A markedly displaced clavicle fracture (no cortical contact between the proximal and distal fragments on radiography and/or > 2 cm of shortening) (2) Patients older than 16 years; and (3) Patient’s ability to provide complete information, sign a consent form, fill out questionnaires, and attend further follow up. Exclusion criteria: (1) Pathologic fracture; (2) Previous clavicle fracture nonunion; (3) inability to provide complete information, sign a consent form, fill out questionnaires, or attend further follow up. Following surgery, follow-up both clinically and plain radiography was conducted every 2nd, 6th and subsequently every month. The amount of clavicle length shortening was measured as the bilateral clavicle length difference. The Constant Murley shoulder score was used to gauge the injured shoulder’s functional outcome Result: In both group at 16 weeks radiological union was observed. Post operatively in Group A (Plate Fixation) 3.33% cases were observed with pain at incision site and superficial infection respectively whereas in group B(TENS Fixation ) 11.11% cases were observed with skin impingement. At follow up in both groups most of the cases were observed with excellent result which shows no statistical difference in the CMS score between both groups. Conclusion: Functional outcomes from the TEN system for the treatment of displaced midshaft clavicle fractures are on par with plate fixation. There was no statistically significant difference in the functional outcomes between the TENS and plate groups. Thus, TENS is a less invasive surgical approach than plate fixation and can be utilised to fixate displaced midshaft clavicle fractures.
"Comparing the Functional outcome of Plate Fixation vs Elastic Intramedullary Nailing for Displaced fractures of the clavicle in the active adult population.", IJSDR - International Journal of Scientific Development and Research (www.IJSDR.org), ISSN:2455-2631, Vol.9, Issue 6, page no.966 - 970, June-2024, Available :https://ijsdr.org/papers/IJSDR2406111.pdf
Volume 9
Issue 6,
June-2024
Pages : 966 - 970
Paper Reg. ID: IJSDR_211829
Published Paper Id: IJSDR2406111
Downloads: 000347108
Research Area: Medical Science
Country: Loni, Maharashtra, India
ISSN: 2455-2631 | IMPACT FACTOR: 9.15 Calculated By Google Scholar | ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 9.15 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator
Publisher: IJSDR(IJ Publication) Janvi Wave
