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Midshaft Clavicular Fracture and Titanium Elastic Intra-medullary Nail

机译:中轴锁骨骨折和钛弹性髓内钉

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摘要

>Introduction: Clavicular injury is common in active and younger age group with male preponderance (male-female ratio is 2:1). Purpose of this study was to analyze the outcome of surgically treated displaced fracture midshaft clavicular fracture using Intra-medullary fixation by titanium elastic nail.>Materials and Methods: We present a series of cases of midshaft clavicular fracture who were subjected to Intra medullary fixation with the average nail diameter of 2.5 to 3 mm titanium elastic nail system by the closed/open reduction method under Image intensifier control.>Results: Average time taken for full clinical and radiological union was nine weeks (with minimum six weeks to maximum eleven weeks). Time taken for fully functional recovery (time of functional disability) was 35±7 days in all patients except in two cases of floating shoulder and one case of poly-traumatic patient in which it was 50 days. Follow-up period ranged between 9 months and 24 months with an average of 18 months. Average Constant-Murley-Score after assessment of shoulder function was 96.8.>Conclusion: Titanium elastic intra-medullary nailing is a promising surgery with excellent functional outcome, safer percutaneous method with less invasive nature and rapid healing tendency with fewer complications in contrast to plate osteosynthesis.
机译:>简介:在以男性占优势(男性与女性比例为2:1)的活跃和年轻年龄段,锁骨损伤是常见的。这项研究的目的是分析使用钛弹性钉进行的髓内固定手术治疗的移位性骨折中轴锁骨骨折的结果。>材料和方法:我们介绍了一系列经手术治疗的中轴锁骨骨折病例。在图像增强器的控制下,采用闭合/开放复位方法对平均直径为2.5至3 mm钛弹性钛钉系统进行髓内固定。>结果: 9周(最少6周到最多11周)。所有患者的全部功能恢复所需时间(功能丧失时间)为35±7天,其中两例为浮肩患者,另一例为多创伤患者,为50天。随访时间为9个月至24个月,平均18个月。评估肩关节功能后,平均Constant-Murley评分为96.8。与钢板骨合成相比,并发症更少。

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