A retrospective study of titanium elastic stable intramedullary nailing in displaced mid-shaft clavicle fractures

Abstract

ObjectiveThe aim of this study is to analyze the functional outcome following titanium elastic stable intra-medullary nailing (ESIN) for displaced mid-shaft clavicular fractures (DMCF).MethodsA retrospective study of 60 patients between March 2009 and March 2015 was conducted. Patients were selected based on the inclusion criteria. Six patients were lost during follow up. Out of the remaining 54 patients, there were 39 males and 15 females. The mean age was 30.6 years. The functional outcome was analyzed using the Constant score, rate of bone union, complication, and earliest time of return to work.ResultsAll fractures united well, with an average time of 7.5 weeks. Follow-up period ranged between 12 months and 18 months (average, 14 months). 24 out of 54 patients had closed nailing, while 30 had minimal open reduction. The average size of ESIN was 2 mm (range, 1.5–3 mm). The average Constant score was 97.8 (range, 95–99). There were no major complications, but minor complications occurred, viz. skin irritation in 15 patients, temporary paresthesia in five patients, and three patients who developed superficial infections. One case had implant migration and perforation at the lateral cortex, and one case had delayed union. There were few implant-related problems, as the authors used a standard protocol to remove it after radiological union. All patients returned to work within 10 weeks of the post-operative period.ConclusionESIN is a safe, minimally invasive, engenders rapid healing with good cosmesis, and provides an excellent functional outcome in terms of patient satisfaction, with fewer complications.

Comparison of Open Reduction and Internal Fixation with Plate and Titanium Elastic Intramedullary Nail in Treating Pediatric Humeral Fracture

“…As reported, the popularity of TEN has grown in North America and other parts of the world in other long bones, such as the femur, tibia, and the forearm 14 . TEN is an elastic stable intra‐medullary nail which counteracts the distraction and compression forces at the fracture site 15 . It has been used in the treatment of humeral fracture, femoral shaft fractures, proximal humeral fractures, clavicular midshaft fractures, etc.…”

Functional outcomes and complications of intramedullary fixation devices for Midshaft clavicle fractures: a systematic review and meta-analysis

“…The only difference between the two is that the Rockwood pin also has a trocar point on the machine thread end of the pin. Concerning the Titanium Elastic Nail (TEN) (Depuy Synthes, Warsaw, IN, USA or Stryker, Kalamazoo, MI, USA) the 43 studies that were incorporated in the analysis were comprised of seven level I, [25][26][27][28][29][30][31] eight level II, [32][33][34][35][36][37][38][39] eleven level III [40][41][42][43][44][45][46][47][48][49][50] and seventeen level IV [5,[51][52][53][54][55][56][57][58][59][60][61][62][63][64][65][66] studies. Another type of fixation described was the Sonoma CRx (Arthrex, Naples, FL, USA) for which 6 studies (three level I, [67][68][69] one level II, [70...…”

Clinical Evaluation of the Treatment of Clavicle Fractures: Intramedullary Nail × Plate

“…The approach adopted was the removal of the nail, the debridement of the lesion and antibiotic therapy, evolving with complete consolidation and resolution of the infectious condition. Govindasamy et al ( 15 had a rate of 5.6% of superficial skin infection in patients treated with nail, and oral antibiotic treatment was recommended in these cases.…”

“…( 1 )- ( 4 ), ( 8 ), ( 9 ), ( 12 )- ( 14 Different techniques have been described for clavicle fixation, among which the two most used are the plate and the intramedullary nail. ( 1 ), ( 2 ), ( 7 ), ( 8 ), ( 14 ), ( 15 …”