Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Clavicle fractures are one of the most common injuries encountered by the orhopedic surgeon. Surgical treatment of displaced mid‐third clavicle fractures is a controversial topic till date. Although plating is the gold standard, lately TENS has been seen as a viable alternative. To assess the functional outcomes of mid‐shaft clavicle fractures treated with TENS vs Plate. A comparative randomized controlled study was carried out in the Department of Orthopedics where A total of 100 patients with mid‐shaft clavicle fractures were selected. Fifty patients were operated with and fifty were operated with TENS. Regular follow‐up was performed for 14 weeks. At each postoperative visit, shoulder function was evaluated using a constant score and DASH score. X‐rays were taken at each visit to evaluate healing. Out of the total patients, 68% were males. Forty percent of the injuries resulted from road accidents, and 37% resulted from falls. The mean age was 39.7 years, ranging from 18 to 64 years. The right side was involved in 66 (66%) patients. Most of the fractures (59%) were simple transverse fractures. Union time was delayed in the TENS group (21.4±6.3 weeks) compared to that in the plate group (17.5±5.2 weeks). Shortening of the clavicle and wound size were less common in the TENS group as compared to than in the plate group. The majority of complications, such as infection, nonunion, and ugly scarring, were more common in the plate group than in the TENS group. Our study found that functional outcomes were better in the TENS group when compared to the plate group. Compared with plate fixation, titanium elastic nailing is a simple, safe, cosmetically preferred, and minimally invasive technique for mid‐shaft clavicular fractures with good functional outcomes and fewer complications.
How to cite this article:
Kishan Gopal Nama, Ramkhiladi Meena, Dharmraj Meena, Sachin Joshi and Ekaansh Karir. Functional Outcome of Fracture Clavicle Treatedwith Plate vs TENS Nail: A Randomized Controlled Study.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.2.342.347
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.2.342.347