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Research Journal of Medical Sciences

ISSN: Online 1993-6095
ISSN: Print 1815-9346
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Functional Outcome of Plating Versus Intramedullary Nailing in Displaced Midshaft of Clavicle Fracture: A Compartive Study

T.T. Annamalai, K.C. Mathew, J. Sugin Glen Baisil, A. Mohamed Zubair, G. Rohin and Zakir Hussain Mohamed
Page: 599-603 | Received 12 Sep 2024, Published online: 30 Nov 2024

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https://doi.org/10.36478/makrjms.2024.11.599.603

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Abstract

Clavicle is a unique S‐shaped bone that is the only long bone oriented horizontally. Clavicle fractures account for approximately 50%‐60% of all shoulder‐related fractures. Non‐surgical management encompasses several treatment methods however surgical options for fixing clavicle fractures includes the use of dynamic compression plates, tubular plates, reconstruction plates, Rockwood pins, titanium elastic nails and external fixators. Among the surgical management intramedullary nailing with titanium elastic nails and plate fixation are popular methods for addressing displaced mid‐shaft clavicle fractures. This is a Prospective Study conducted among 34 patients in Sree Mookambika Institute of Medical Sciences, Kulasekharam, who were diagnosed to have mid shaft clavicle fracture. Inclusion criteria included patient aged 18‐70 years, closed fracture and Allman type I displaced mid shaft clavicle fracture with displacement <2 cm. Exclusion criteria includes comminuted fracture, Allman type I fracture with displacement >2 cm, Allman type II and III fracture, paediatric fracture, fracture associated with neurovascular injury, floating shoulder, pathological fracture, associated head injury, acromioclavicular joint dislocation and those not giving consent for this study. Functional outcome was assessed with VAS score and DASH score. The DASH score for plating group was <10 in 10 patient, 10‐15 in 5 patient and >15 in 2 patients. Whereas DASH score for intramedullary nailing group <10 in 13 patient, 10‐15 in 3 patient and >15 in 1 patient. For managing displaced midshaft clavicular fractures, intramedullary nailing proves to be more effective than plating.

How to cite this article:

T.T. Annamalai, K.C. Mathew, J. Sugin Glen Baisil, A. Mohamed Zubair, G. Rohin and Zakir Hussain Mohamed. Functional Outcome of Plating Versus Intramedullary Nailing in Displaced Midshaft of Clavicle Fracture: A Compartive Study.
DOI: https://doi.org/10.36478/makrjms.2024.11.599.603
URL: https://www.makhillpublications.co/view-article/1815-9346/makrjms.2024.11.599.603