Closed vs open nailing for displaced middle third fracture of clavicle. Does it matter?
Hrushikesh Saraf1, Sarang Kasture2
1Shashwat Hospital, Kothrud, Pune, Maharashtra, India.
Background:
Intramedullary nailing for fractures of middle third clavicle has become increasingly popular. Though open nailing has been widely described, closed nailing finds less mention.
Objectives:
In this study we compared closed nailing with open nailing in fractures of middle third of clavicle to assess if the former holds any advantage.
Material And Methods:
34 patients with closed nailing were compared to 31 patients with open nailing in terms of operative time, length of incision, pain, time to union and functional outcome.
Results:
Only operative time and length of incision were significantly more in open group than in closed group.
Discussion:
We believe that closed reduction can be attempted in all patients undergoing nailing for middle third clavicle fracture but surgeon should have a low threshold to open the fracture if closed reduction fails as functional outcome and time to union remains unaffected.
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