Fractures of the clavicle are common injuries with an incidence of 5-10% of all fractures. These fractures are generally managed conservatively. Most commonly, these fractures occur within the middle third of the clavicle and with some degree of displacement. Most fractures of the medial or lateral end of the clavicle can be treated nonsurgically if fracture fragments remain stable. Surgery may be required in cases of neurovascular compromise or significant fracture displacement. Fractures that require internal fixation are treated by plate osteosynthesis as the standard procedure. Intramedullary Nailing (TENS) is an increasingly popular alternative for the internal fixation of displaced mid-clavicular fractures.
Material & methods: A study of 50 cases was conducted at Department of orthopaedics, ESIC Kalaburagi & Kamareddy Ortho& Trauma Care Hospital Kalaburgi,Karnataka from 1st May 2015 to Sept 30th 2016. These patients underwent flexible intramedullary nailing with titanium elastic nail (TENS). Clinical and radiological assessments were performed at regular intervals. Implant removal was performed in all the patients after the fracture united completely/3-4 months period due to pain.
Results: Length of incision, operation time, blood loss and duration of hospital stay were significantly less for the TENS. Easy implant removal and fewer complications. Its a simple procedure with excellent functional outcome in terms of quick return to daily activities and a high patient satisfaction rate
Conclusion: Intramedullary nailing (TENS) of displaced midclavicular fractures is a safe, cosmetically preferred, minimally invasive technique with fewer complications, excellent functional results and early pain relief. It is an equaly effective Surrogate method to plate fixation in mid-clavicular fractures.