Volume : VIII, Issue : I, January - 2019
Minimally invasive technique for fixation of middle shaft of clavicle fractures by titanium elastic nail.
Dr Himanshu D Shah
Abstract :
Background: Conventionally middle third shaft clavicle fractures are treated conservatively.
Recently there is trend favouring fixation and achieving length and early mobilization. Plate fixation
is standard approach. Minimally invasive fixation using TEN by tiny incision is alternative of plating
with several advantages.
Method: Twenty two patients were operated using tiny 1 cm vertical incision for TEN insertion
under IITV guidance after closed reduction. K wire was used as joystick to manipulate the distal
fragment.
Results: All patients were operated by close method. Average union time was 10 weeks without any
complication. Four patients had skin impingement due to TEN at entry site which were subsequently
extracted.
Conclusion: TEN of Clavicle is minimally invasive surgery of middle third non comminuted shaft
clavicle fracture which requires minimum soft tissue dissection, preservation of fracture hematoma,
early union, less blood loss, less hospital stay and early mobilization.
Keywords :
Article:
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DOI : 10.36106/ijsr
Cite This Article:
MINIMALLY INVASIVE TECHNIQUE FOR FIXATION OF MIDDLE SHAFT OF CLAVICLE FRACTURES BY TITANIUM ELASTIC NAIL., Dr Himanshu D Shah INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-1 | January-2019
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References :
MINIMALLY INVASIVE TECHNIQUE FOR FIXATION OF MIDDLE SHAFT OF CLAVICLE FRACTURES BY TITANIUM ELASTIC NAIL., Dr Himanshu D Shah INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-1 | January-2019
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