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Functional Outcomes of Minimally Invasive Titanium Elastic Nailing for Displaced Midshaft Clavicle Fractures: A
Jayant Kothale1, Vishal Kumar2, Mohamed P Azlam1
1Orthopedics, Government Medical College, Seoni, IND.
Cureus
|August 1, 2026
Summary
Minimally invasive titanium elastic nailing (TENS) offers effective treatment for displaced midshaft clavicle fractures, showing good functional and healing outcomes. While generally safe, some patients experienced hardware-related issues requiring removal.
Area of Science:
- Orthopedic Surgery
- Trauma Care
- Biomedical Engineering
Background:
- Displaced midshaft clavicle fractures are common injuries.
- Titanium elastic nailing system (TENS) provides a minimally invasive surgical option.
- Assessing TENS efficacy and safety is crucial for treatment decisions.
Purpose of the Study:
- Evaluate the functional, clinical, and radiological outcomes of TENS for displaced midshaft clavicle fractures.
- Determine union rates and complication profiles associated with TENS.
- Compare TENS to traditional plate fixation methods.
Main Methods:
- Prospective study of 30 patients with displaced midshaft clavicle fractures treated with TENS.
- Fracture classification using Arbeitsgemeinschaft für Osteosynthesefragen/Orthopedic Trauma Association (AO/OTA) Type 15-B1 and 15-B2.
- Outcomes assessed via Constant-Murley, DASH, and VAS scores at 1, 3, and 6 months.
Main Results:
- Successful closed reduction in 83.3% of patients with a mean surgical time of 31.67 minutes.
- Mean clinical union at 6.7 weeks and radiological union at 8.43 weeks.
- At 6 months, mean Constant score was 91.00, mean DASH score was 12.30, and mean VAS score was 3.53, with 86.7% excellent results. Complications included hardware removal (30%), paresthesia (16.7%), and minimal shortening (23.3%). One nonunion occurred.
Conclusions:
- Minimally invasive TENS is a viable treatment for displaced midshaft clavicle fractures.
- Favorable short-term functional and radiological outcomes were observed.
- Timely union and acceptable complication rates were noted, though hardware-related issues are common.
