الفهرس 
Percutaneous intramedullary fixation versus plate osteosynthesis for displaced mid-shaft clavicle fractures: A randomized controlled trial
ContentsOnly 14 pages are availabe for public view
 |  | from | 162 |  |  |
| | | from | 162 | | |
Abstract
Background: This randomized controlled trial was done to evaluate the effectiveness of implants of different designs (titanium elastic intramedullary nail versus plate) in the treatment of displaced midshaft clavicular fractures.
Materials and methods: Twenty-six skeletally mature patients with displaced midshaft clavicle fractures were included in this study. They were randomized into two groups to be treated with either Titanium elastic intramedullary nail (TEN) or plate fixation. Clinical and radiological assessments were performed at regular intervals. Fracture union, Shoulder functional outcomes, and complications in both groups were compared.
Results: During analysis, we had 13 patients in the TEN group and 13 patients in the plate group. No significant difference in Fracture union time between the two groups, no significant difference in the functional score (the DASH score and the Constant score) at six months postoperatively was noted between the two surgical interventions. However, plate fixation resulted in a more rapid improvement in the functional score during the first three months after surgery. The complications were mainly implant-related and, in total, similar between the groups. The nailing group had slightly more minor complications as medial entry prominence. The nailing group had shorter operative time.
Conclusions: TEN is a safe, minimally invasive surgical technique with a low complication rate, excellent cosmetic results , easier implant removal, and comparable functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures fixation, Future research should focus on determining which fixation type is appropriate for each midshaft clavicle fracture patterns