Minimally invasive stabilization of midshaft clavicle fractures using TENS: Impact on functional recovery and early mobilization
DOI:
https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20261214Keywords:
Intramedullary fixation, Mid shaft clavicle, TENS nailAbstract
Background: Clavicle fractures are commonly seen in young population, notably in those who are more active in sports, on the contrary, in elderly and children they are attributed mostly to falls, accounting for around 2.6% of all the fractures. The most common site of fracture in the clavicle occurs at the middle third and which accounts for almost 80% of all clavicle fractures. To explain the faster pain relief, early return of function and restitution of clavicle length with the help of reduction and internal fixation of clavicle fracture creating an elastic stability at the fracture gap.
Methods: 32 patients presenting with mid shaft clavicle fractures in department of orthopaedics, KLEs Dr. Prabhakar Kore Hospital & Medical Research Centre and Charitable Hospital, were included in this study after taking their consent and fracture was stabilized using TENS nail.
Results: In this study, it was noted that males were predominantly involved, maximum incidence between 20-30 years. Most of the cases had RTA as a mode of injury with right clavicle fracture predominance. Post operatively, patients were followed up and Oxford Shoulder Score (OSS) was calculated at 4, 8, 16 weeks and the improvement in OSS score was found to be statistically significant.
Conclusions: We concluded that intramedullary fixation of displaced mid shaft clavicle fractures is a safe minimally invasive technique and is recommended in view of faster union, lesser morbidity, earlier rehabilitation and fewer complications.
References
Canale ST, Beaty JH. Campbell's operative orthopaedics e-book: expert consult premium edition-enhanced online features. Elsevier Health Sciences. 2012.
Rockwood CA. Rockwood and Green's fractures in adults. Lippincott Williams & Wilkins; 2006.
Craig EV. Fractures of the clavicle. In: Rockwood CA, Matsen FA, eds. The Shoulder. 3rd ed. Philadelphia, PA: WB Saunders. 1998:428–482.
Neer CS., 2nd Nonunion of the clavicle. J Am Med Assoc. 1960;172:1006–11.
Neviaser JS. The treatment of fractures of the clavicle. Surg Clin North Am. 1963;43:1555–63.
Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Evidence-Based Orthopaedic Trauma Working G. Treatment of acute midshaft clavicle fractures: Systematic review Of fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. J Orthop Trauma. 2005;19:504–7.
Smekal V, Irenberger A, Struve P, Wambacher M, Krappinger D, Kralinger FS. Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures- a randomized, controlled, clinical trial. J Orthop Trauma.2009;23:106–12.
Millett PJ, Hurst JM, Horan MP, Hawkins RJ. Complications of clavicle fractures treated with intramedullary fixation. J Shoulder Elbow Surg. 2011;20:86–91.
Frigg A, Rillmann P, Perren T, Gerber M, Ryf C. Intramedullary nailing of clavicular midshaft fractures with the titanium elastic nail: Problems and complications. Am J Sports Med. 2009;37:352–9.
Mueller M, Rangger C, Striepens N, Burger C. Minimally invasive intramedullary nailing of midshaft clavicular fractures using titanium elastic nails. J Trauma. 2008;64:1528–34.
Canadian Orthopaedic Trauma S. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 2007;89:1–10.
Smekal V, Irenberger A, Attal RE, Oberladstaetter J, Krappinger D, Kralinger F. Elastic stable intramedullary nailing is best for mid-shaft clavicular fractures without comminution: Results in 60 patients. Injury. 2011;42:324–9.
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