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Anish P Kadakia, Rohit Rambani, Faisal Qamar, Steven McCoy, Lutz Koch, Balachandran Venkateswaran
Dewsbury and District Hospital, Dewsbury, West Yorkshire, England, United Kingdom
Correspondence Address:
Anish P Kadakia
Dewsbury and District Hospital, Halifax Road, Dewsbury, West Yorkshire WF13 4HS, England
United Kingdom
 Source of Support: None, Conflict of Interest: None  | 5 |
DOI: 10.4103/0973-6042.102557
Introduction: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement.
Materials and Methods: A total of 38 patients, which met inclusion criteria, were reviewed retrospectively. There were 32 males and six females. The mean age was 27.6 years. The patients were assessed for clinical/radiological union and by Oxford Shoulder and QuickDASH scores. 71% patients required open reduction.
Results: 100% union was achieved at average of 11.3 weeks. The average follow-up was 12 months. The average Oxford Shoulder and QuickDASH scores were 45.6 and 6.7, respectively. 47% patients had nail removal. One patient had lateral nail protrusion while other required its medial trimming.
Conclusion: In our hands, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and overall outcome.
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