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Corresponding Author

Islam Gomaa Mohamed Abdulmageed

Document Type

Original Article

Abstract

Background: In the past, nonoperative management was employed to address clavicle fractures; however, recent evidence-based updates from high-quality randomized studies are starting to alter this approach. A minimally invasive titanium elastic nailing system (TENS) Establishes a 3-point stabilization in the curved clavicle. Objectives: To evaluate the radiological and clinical findings of the surgical fixation of midclavicular fractures utilizing the TENS.

Patients and Methods: The prospective case series involved thirty people who presented to Al-Azhar University Hospitals in Cairo with dislocated middle 3rd clavicle fracture. Individuals were monitored for six months after receiving percutaneous elastic intramedullary nails.

Results: The final Constant score was 89.13 ± 13.91. Excellent findings in 20 cases (67%), good in 6, middling in 2, and poor in 2. Union duration ranged from 8-12 weeks, with a mean of 10.0 ± 1.33 weeks, except for one case of hypertrophic non-union. The final score was significantly associated with patients' age and medical problems. Patients had one infection (3.3%), two medial skin irritations (6.66%), and one hypertrophic non-union (3.3%).

Conclusion: TENS is a method that relies on imaging and is most suitable for young patients without medical conditions who have acute, uncomplicated clavicle fractures in the middle 3rdof the bone.

Keywords

Titanium Elastic Nailing System ; Intramedullary Fixation; Middle third clavicular Fractures

Subject Area

Orthopedics

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