Comparative Study between Plating and Titanium Elastic Nailing System in Mid-clavicular Fractures in Andhra Population

Medisetty Vinod Kumar

Medisetty Vinod Kumar Assistant Professor, Department of Orthopaedics

Keywords: Disabilities of the arm, shoulder and hand score, Fluoroscopy, Titanium elastic nailing system, Mid-shaft fracture, Plating

Abstract

Background: Although non-operative management of mid-shaft clavicle fractures is standard method, to avoid non-union or
mal-union of displaced fractures of clavicle plating or titanium elastic nailing system (TENS) techniques are widely used. Hence,
their post-surgical complications were studied.
Materials and Methods: Out 26, 13 were treated with TENS and 13 with plating routines blood examination electrocardiogram
radiological study was carried out and operated under general anesthesia.
Results: Mean blood loss, operative timing, and size of the wound mean open reduction were highly significant in nail technique
method. (P < 0.00) Post-surgical complications were least in nailing technique. The rate of union was 100% in both techniques.
Mean Dash score rate in 1st, 3rd, and 6th months was highly significant in nail technique (P < 0.001).
Conclusion: Although both techniques were equally effective at treating displaced mid-clavicular fractures, due to least postsurgical
complications TENS is preferred than plating technique.

Author Biography

Medisetty Vinod Kumar, Assistant Professor, Department of Orthopaedics

Nimra Institute of Medical Sciences, Vijayawada, Andhra Pradesh, India

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