Titanium elastic intramedullary nailing for midclavicular fractures: Clinical outcomes

To assess the surgical outcome of displaced midshaft clavicular fracture using intramedullary fixation by titanium elastic nail.

17 cases of displaced midshaft clavicular fracture underwent surgery with Intra medullary fixation by titanium elastic nail. The study was conducted from July 2014 to August 2015 admitted to Navodaya Medical College and research center, Raichur. We evaluated the Constant score to determine the outcomes.

All fractures got united in our study. Average time taken for full clinical and radiological union was 11.8 weeks (Range 10–14 wks). In our study minor complications were noted in total 41.17% patients. There were no major complications noted. Average Constant Score at final follow up was 95.16.

Minimally invasive fixation with TENS is a safe method and can be performed with minimal complications. This method of fixation of displaced midclaviclular fractures should result in less soft tissue injury, shorter operating time, satisfactory stabilization, a good cosmetic appearance, quick pain relief, early return to work and easy implant removal under local anaesthesia as an outpatient department procedure.