Comparative Study Between Plating and Titanium Elastic Nailing System in Mid-Clavicular Fractures
Authors/Creators
- 1. Associate Professor, Department of Orthopaedics, Dr. DY Patil Medical College and Research Centre Sant Tukaram Nagar Pimpri – 411018, Maharashtra
- 2. Orthopaedics Resident, Dr. DY Patil Medical College and Research Centre Sant Tukaram Nagar Pimpri – 411018, Maharashtra
Description
Background: Fracture of the clavicle is one of the most common bony injuries. The clavicle lacks a medullary cavity and is late to heal. Hence, proper technique is mandatory to heal the fracture as soon as possible. Hence, it has become a challenge for orthopaedic surgeons. Method: Out of 30 patients with clavicle fractures, 15 were treated with TENS and 15 with plating. Routine blood examination (CBC), an ECG, radiological study was carried out, and general anaesthesia was given. Results: Mean blood loss, timing for surgery, and size of wound were quite low in the nailing technique as compared to the plating technique, and the p value was highly significant (p<0.00). Surgical complications were also the least common with nailing techniques. The rate of union was 100% in both techniques. The mean dash square rate in the 1st, 2nd, and 6th months was highly significant in nail technique (p<0.001). Conclusion: Both techniques have 100% union of fracture and are equally effective in treating displaced mid-clavicular fractures. But due to the fewest post-surgical complications, TENS is preferred over the plating technique.
Abstract (English)
Background: Fracture of the clavicle is one of the most common bony injuries. The clavicle lacks a medullary cavity and is late to heal. Hence, proper technique is mandatory to heal the fracture as soon as possible. Hence, it has become a challenge for orthopaedic surgeons. Method: Out of 30 patients with clavicle fractures, 15 were treated with TENS and 15 with plating. Routine blood examination (CBC), an ECG, radiological study was carried out, and general anaesthesia was given. Results: Mean blood loss, timing for surgery, and size of wound were quite low in the nailing technique as compared to the plating technique, and the p value was highly significant (p<0.00). Surgical complications were also the least common with nailing techniques. The rate of union was 100% in both techniques. The mean dash square rate in the 1st, 2nd, and 6th months was highly significant in nail technique (p<0.001). Conclusion: Both techniques have 100% union of fracture and are equally effective in treating displaced mid-clavicular fractures. But due to the fewest post-surgical complications, TENS is preferred over the plating technique.
Files
IJPCR,Vol15,Issue8,Article86.pdf
Files
(1.1 MB)
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Additional details
Dates
- Accepted
-
2023-07-25
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue8,Article86.pdf
- Development Status
- Active
References
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