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Treatment of midshaft clavicular fractures with elastic titanium nails.

Keihan Shokouh H, Naderi MN, Keihan Shokouh M - Trauma Mon (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.

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.

No MeSH data available.


Related in: MedlinePlus

Comminuted Midshaft Clavicular Fracture
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fig11750: Comminuted Midshaft Clavicular Fracture

Mentions: We operated 13 clavicular fractures in 12 patients from 2008 through 2012. Our exclusion criteria were old Fx, open Fx, proximal end and distal end Fx. The inclusion criteria were: closed, midshaft, acute clavicular Fx (Figure 1). Eight patients were women and 6 had comminuted Fx. The mean age of the patients was 29 years (range 17-42 years). Seven patients had high-energy trauma and three of them had multiple trauma. One patient had a bilateral Fx with right side ipsilateral acromioclavicular joint dislocation. The pattern of Fx in one patient was segmental, with ipsilateral midshaft and distal end clavicular fracture (Figure 2). Most cases were operated within 24-48 hours after trauma. In four patients, clavicle Fx was fixed by closed reduction and use of C-arm radiological control. In the remaining, open reduction was used for reduction and fixation. As a routine procedure, we used a small incision over the Fx site. The technique for this operation was as follows: A small incision was made over the skin 1 cm lateral to the medial end of the clavicle; then, for insertion of the nail, an entry point was made in the anterior cortex of the bone by a 3.2 mm drill. After preparation of the entry hole, a nail (2 to 3 mm in diameter) was advanced into the medullary canal of the medial segment of the clavicle and passed through the fracture site and lateral segment via oscillation using a universal chuck and T-handle (Figure 3).


Treatment of midshaft clavicular fractures with elastic titanium nails.

Keihan Shokouh H, Naderi MN, Keihan Shokouh M - Trauma Mon (2014)

Comminuted Midshaft Clavicular Fracture
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4199290&req=5

fig11750: Comminuted Midshaft Clavicular Fracture
Mentions: We operated 13 clavicular fractures in 12 patients from 2008 through 2012. Our exclusion criteria were old Fx, open Fx, proximal end and distal end Fx. The inclusion criteria were: closed, midshaft, acute clavicular Fx (Figure 1). Eight patients were women and 6 had comminuted Fx. The mean age of the patients was 29 years (range 17-42 years). Seven patients had high-energy trauma and three of them had multiple trauma. One patient had a bilateral Fx with right side ipsilateral acromioclavicular joint dislocation. The pattern of Fx in one patient was segmental, with ipsilateral midshaft and distal end clavicular fracture (Figure 2). Most cases were operated within 24-48 hours after trauma. In four patients, clavicle Fx was fixed by closed reduction and use of C-arm radiological control. In the remaining, open reduction was used for reduction and fixation. As a routine procedure, we used a small incision over the Fx site. The technique for this operation was as follows: A small incision was made over the skin 1 cm lateral to the medial end of the clavicle; then, for insertion of the nail, an entry point was made in the anterior cortex of the bone by a 3.2 mm drill. After preparation of the entry hole, a nail (2 to 3 mm in diameter) was advanced into the medullary canal of the medial segment of the clavicle and passed through the fracture site and lateral segment via oscillation using a universal chuck and T-handle (Figure 3).

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopedics, Faculty of Medicine, Hamadan University of Medical Sciences, Hamadan, IR Iran.

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.

No MeSH data available.


Related in: MedlinePlus