TITANIUM ELASTIC NAILING SYSTEM IN MID-SHAFT CLAVICLE FRACTURE- A PROSPECTIVE STUDY.

Abstract

Introduction: Young and active persons are liable for clavicle fractures, most common among Racing individuals ,sports persons and in athletes due to high velocity injury. Clavicle fractures are about 2.5% of all fractures and it is the most common .Satisfactory results with high union rates and less complications have been reported from various techniques for operating Clavicle fractures .The clavicle is a long bone with broad medial and at lateral end and is treated best with Intramedullary elastic devices. So, titanium elastic nailing system is the recommended procedure for all displaced midshaft clavicle fractures to reduce the rate of malunion , non-union, delayed union , symptomatic malunion, and Other complications. Aim Of The Study: To analyze the functional outcome of displaced middle third clavicle Fractures treated by titanium elastic nailing system that will keep the Anatomical shape and length of the clavicle. The study was provisionally approved by the institutionalMaterials And Methods: ethics committee, Andhra medical College, visakhapatnam. This prospective study of displaced midshaft Clavicle fractures treated by titanium elastic nail system was done at the Department of Orthopedics, King George Hospital, Andhra Medical college, Visakhapatnam, from September 2019 to September 2021. Over a period of 2 years with in my academic years from may 2019 to may 2022. Titanium elastic nailingConclusion: system for displaced midshaft clavicle fracture is a safe minimally invasive technique with good functional and radiological outcomes and has better cosmetic appearance . Clavicular fractures which are displaced at middle third are best treated with titanium elastic nailing system with less operative time of 30-45 minutes compared with clavicular plating which takes more than 60-90 minutes. This procedure has better functional outcome than conservative treatment . A good reliable sophisticated minimally invasive technique for midshaft clavicular fractures are xed by Closed nailing or minimal open reduction at fracture site.