Abstract: Background: This prospective consecutive case series was done to evaluate indications, technical pearls and pitfalls and functional outcomes of elastic stable intramedullary nailing of displaced mid clavicular fractures and the effectiveness of the titanium elastic stable intramedullary nails in the surgical treatment of the mid clavicular fractures in adults.
Materials & Methods: A total of 30 patients (20 men, 10 female) were included in this study. Constant score and radiographs were evaluated after 1 and 6 weeks, 3 months and 6 months in 30 patients. Mean age was 28 years.
Results: Length of incision, operation time, blood loss and duration of hospital stay were significantly less. The average follow-up was 12 months. Mean operation time was 58 minutes. Open reduction through an additional small incision was necessary for some fractures. Mean hospital stay was 1.2 days. The Constant score averaged 78 after 1 week, 94 after 6 weeks and 96 after 6 months. Compared to the contralateral side, average shortening of the clavicle was 1.5 mm.
Conclusion: Titanium elastic nailing system provided a good restoration of the length of the clavicle allowing immediate active mobilization and early return to normal activity with excellent functional results.
