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