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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...

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Autores principales: Kadakia, Anish P., Rambani, Rohit, Qamar, Faisal, McCoy, Steven, Koch, Lutz, Venkateswaran, Balachandran
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
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.
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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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