Abstract
Background:One of the modern techniques for the treatment of clavicle fracture (Fx) is elastic titanium intramedullary nailing. But, there are different opinions about this technique. We studied this technique in 12 patients with clavicle Fx and assessed its outcome.Objectives:We aimed to study the prognosis of midshaft clavicular Fx treated via minimally invasive stable elastic intramedullary nailing.Patients and Methods:We operated on 13 clavicle Fx in 12 patients from 2008 through 2012. We used a new technique called minimally invasive titanium elastic intramedullary nailing for operating patients with midshaft clavicular Fx.Results:Clinical union was achieved 3-5 weeks after the operation with no pain over Fx sites upon physical examination. Radiologic union appeared at 6 to 12 weeks .We did not encounter nonunion or infection, but one of the comminuted Fx united 1 cm shorter; however, it had a solid union with a good score. All but two patients had good scores.Conclusions:Although controversy exist regarding intramedullary nailing of clavicle Fx, our results using this technique for minimally comminuted midshaft clavicular Fx were very good.
Highlights
One of the modern techniques for the treatment of clavicle fracture (Fx) is elastic titanium intramedullary nailing
There are multiple techniques for the treatment of clavicle Fx [1,2,3,4,5,6,7,8]; the trend is toward an operative approach [1, 3, 5, 8] which consists of two main procedures: plating or intramedullary nailing
Our aim in this study was to determine the outcomes of 13 midshaft clavicular Fx treated by minimally invasive intramedullary nailing with elastic titanium nails
Summary
One of the modern techniques for the treatment of clavicle fracture (Fx) is elastic titanium intramedullary nailing. We used a new technique called minimally invasive titanium elastic intramedullary nailing for operating patients with midshaft clavicular Fx. Results: Clinical union was achieved 3-5 weeks after the operation with no pain over Fx sites upon physical examination. Conclusions: controversy exist regarding intramedullary nailing of clavicle Fx, our results using this technique for minimally comminuted midshaft clavicular Fx were very good. Rigid pins are not used due to their breakage and migration [10,11,12]; a relatively new technique uses elastic titanium nails [13, 14] This technique was attractive when first presented by Jubel et al [13] but there are varying opinions about it [6, 10]. Others report opposite results such as high nonunion, the breakage of device, and lengthy operation time [4] We used this technique in 13 clavicular Fx and studied the outcome
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