Results of Intra-Medullary Fixation of Displaced Midshaft Fracture Clavicle in Adult

Abstract

Background:Clavicle fractures are common fractures, comprising 5% to 10% of all fractures seen in emergency departments. Fractures of the middle third, or midshaft, are the most common, accounting for up to 80% of all clavicle fractures.Intramedullary fixation is thought to allow for a smaller incision, which can be more cosmetically appearing.

Aim of the study:Assessment of the outcomes of intramedullary fixation (TEN) of displaced midshaft fracture of the clavicle in adults.

Patients and Methods:This was a prospective interventional study with a comprehensive sample of all cases that met the inclusion and exclusion criteria have included in the study, 18 cases have included. All patients were suffered from displaced midshaft clavicular fractures classified as type I according to Allman and Craig classification and type IIb in Robinson`s classification and all were managed by intramedullary fixation. All patients were subjected to full history taking, clinical evaluation, local examination, radiological examination. Postoperative visits were scheduled every 2-4 weeks until the bone union and 3 months after the union then every 6 months until 2.5 (2.2-4.5) years after surgery.

Results:Age was distributed as 34.05±11.65 with minimum 18 and maximum 62 years, regard sex distribution male were majority with 77.8%.Time of union was distributed as 9.64±3.21 with a minimum 6 and maximum of 20 weeks. Time of return to normal activity was distributed as 12.0±4.07 with a minimum 8.0 and maximum of 24 Weeks. Quick dash score was distributed as 7.59±7.01 with a minimum of 0.0 and a maximum of 45.4.  that only one case had no-union and also just one case had an infection and 2 cases had implant prominence with 11.1%, and overall complication was founded in 11.1%.Time of union weeks, return to ADL weeks and Quick dash score were significantly higher among complicated cases.

Conclusion:IM fixation(TEN) of DMFC in adults is an available technique especially for early pain relief and resuming good shoulder function, resulting in a fast return to activities and a high patient satisfaction score