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Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases
INTRODUCTION: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for mid...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507328/ https://www.ncbi.nlm.nih.gov/pubmed/23204762 http://dx.doi.org/10.4103/0973-6042.102557 |
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author | Kadakia, Anish P. Rambani, Rohit Qamar, Faisal McCoy, Steven Koch, Lutz Venkateswaran, Balachandran |
author_facet | Kadakia, Anish P. Rambani, Rohit Qamar, Faisal McCoy, Steven Koch, Lutz Venkateswaran, Balachandran |
author_sort | Kadakia, Anish P. |
collection | PubMed |
description | INTRODUCTION: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement. MATERIALS AND METHODS: A total of 38 patients, which met inclusion criteria, were reviewed retrospectively. There were 32 males and six females. The mean age was 27.6 years. The patients were assessed for clinical/radiological union and by Oxford Shoulder and QuickDASH scores. 71% patients required open reduction. RESULTS: 100% union was achieved at average of 11.3 weeks. The average follow-up was 12 months. The average Oxford Shoulder and QuickDASH scores were 45.6 and 6.7, respectively. 47% patients had nail removal. One patient had lateral nail protrusion while other required its medial trimming. CONCLUSION: In our hands, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome. |
format | Online Article Text |
id | pubmed-3507328 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-35073282012-11-30 Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases Kadakia, Anish P. Rambani, Rohit Qamar, Faisal McCoy, Steven Koch, Lutz Venkateswaran, Balachandran Int J Shoulder Surg Original Article INTRODUCTION: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement. MATERIALS AND METHODS: A total of 38 patients, which met inclusion criteria, were reviewed retrospectively. There were 32 males and six females. The mean age was 27.6 years. The patients were assessed for clinical/radiological union and by Oxford Shoulder and QuickDASH scores. 71% patients required open reduction. RESULTS: 100% union was achieved at average of 11.3 weeks. The average follow-up was 12 months. The average Oxford Shoulder and QuickDASH scores were 45.6 and 6.7, respectively. 47% patients had nail removal. One patient had lateral nail protrusion while other required its medial trimming. CONCLUSION: In our hands, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3507328/ /pubmed/23204762 http://dx.doi.org/10.4103/0973-6042.102557 Text en Copyright: © International Journal of Shoulder Surgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Kadakia, Anish P. Rambani, Rohit Qamar, Faisal McCoy, Steven Koch, Lutz Venkateswaran, Balachandran Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title | Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title_full | Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title_fullStr | Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title_full_unstemmed | Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title_short | Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases |
title_sort | titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: a review of 38 cases |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3507328/ https://www.ncbi.nlm.nih.gov/pubmed/23204762 http://dx.doi.org/10.4103/0973-6042.102557 |
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