Elastic Stable Intramedullary Nailing Versus Plate Osteosynthesis of Mid-Clavicular Fractures-A Comparative Study

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dc.contributor.authorMohanty, Rasmiranjanen_US
dc.date.accessioned2020-01-02T06:08:29Z
dc.date.available2020-01-02T06:08:29Z
dc.date.issued2019-07
dc.description.abstractThe biomechanical characteristics of midshaft clavicular fractures treated with titanium elastic nail is not well studied. This study aimed to present a analysis of titanium elastic nail fixation and reconstruction plate fixation for midshaft clavicular fractures. Methods: Forty-four patients between 18 and 65 years of age were included in this study. They were randomized in two groups to be treated with either elastic intramedullary nail (ESIN) or plate. Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of both groups over 2 years of follow-up time were compared. Results: Length of incision, operation time, blood loss and duration of hospital stay were significantly less for the ESIN group. American Shoulder and Elbow Surgeons (ASES) and Constant Shoulder scores were significantly higher (p\0.05) in the plating group than the EIN group for the first 2 months but there was no significant difference found between the two groups regarding functional and radiological outcome at the 2-year follow-up. Conclusion: ESIN is minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and comparable functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures.en_US
dc.identifier.affiliationsAssistant Professor, Department of Orthopaedics, P.R.M Medical College, Baripada, Odisha.en_US
dc.identifier.citationMohanty Rasmiranjan. Elastic Stable Intramedullary Nailing Versus Plate Osteosynthesis of Mid-Clavicular Fractures-A Comparative Study. Annals of International medical and Dental Research. 2019 Jul; 5(4): 35-41en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188981
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber4en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.4.OR8en_US
dc.subjectelastic nailen_US
dc.subjectfixation and reconstruction plateen_US
dc.subjectmidshaft clavicular fracturesen_US
dc.titleElastic Stable Intramedullary Nailing Versus Plate Osteosynthesis of Mid-Clavicular Fractures-A Comparative Studyen_US
dc.typeJournal Articleen_US
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