Titanium Elastic Nail System for Middle One-Third Clavicle Fractures: Impact on Functional Recovery

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Clavicle fractures are common, with displaced midshaft fractures risking complications like delayed union and malunion.
• Surgical options like open reduction and internal fixation, and titanium elastic nailing system (TENS), improve outcomes.

Purpose of the Study:

• To evaluate the effectiveness of TENS for midshaft clavicle fractures.
• To assess functional recovery using the Constant-Murley score.
• To analyze complications associated with TENS treatment.

Main Methods:

• A descriptive cross-sectional study of 35 patients (aged 16-60) with middle-third clavicle fractures treated with TENS.
• Functional outcomes assessed via Constant-Murley score.
• Radiographs used to evaluate fracture union.

Main Results:

• Mean union time was 4.55 months, with a mean Constant score of 81.7 at 6 months.
• Minimal complications observed, including infection, blood loss, and hardware irritation.
• TENS proved to be a valuable, minimally invasive option for displaced midshaft clavicle fractures.

Conclusions:

• TENS is a safe and effective treatment for displaced midshaft clavicle fractures.
• It offers faster recovery, improved function, fewer complications, and better cosmetic results.
• The study successfully assessed the effectiveness of TENS, confirming its benefits.