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314665

THE CLINICAL AND RADIOLOGICAL OUTCOMES OF THE USE OF ELASTIC INTRA-MEDULLARY NAILS IN THE FIXATION OF FRESH NON-COMMINUTED MID-SHAFT CLAVICLE FRACTURES IN ADULTS.

Article

Last updated: 28 Dec 2024

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Abstract

Aim: Clavicular fractures make up 5% to 10% of all fractures and 35% to 45% of injuries to the shoulder girdle. About 80% of all clavicular fractures are mid-shaft fractures, with lateral third fractures coming in second (12%-15%) and medial third fractures coming in third (5%–6%). Conservative treatment, such as a figure-of-eight bandage, is typically used to treat non-displaced mid-clavicular fractures. Absolute indications for surgical treatment include the floating shoulder, impending or existing neurovascular impairment, and imminent skin perforation. Relative indications for surgical fixing include non-unions and severe displacement of fracture fragments. The most common surgical procedure is plate osteosynthesis, but this method has been linked to increased rates of complications. This study's objective is to assess the clinical and radiological results of employing elastic intra-medullary nails to treat adults with fresh, non-comminuted mid-shaft Clavicle fractures. Patients and Methods: A prospective study was conducted on 20 adult patients treated with an elastic intra-medullary nail for non-comminuted mid-shaft clavicle fractures between August 2021 and August 2022. Results: According to the Constant and Murley shoulder score, the mean score at the conclusion of the follow-up period was 93, with a range of 58 to 100. 13 of the patients (or 65%) had great results, 4 (20%) had good results, 2 (10%) had fair results, and 1 (or 5%) had subpar results. Conclusion: Using an intramedullary elastic nail to fixe non-comminuted mid-shaft clavicular fractures is a successful course of treatment in some circumstances. All of the cases included in the study experienced complete union over the follow-up period, and most of them had good range of motion, strength and cosmetically accepted scar.

DOI

10.21608/ejor.2023.314665

Keywords

mid-shaft, Clavicle fracture, screw fixation, intramedullary

Authors

First Name

Wael

Last Name

Salama

MiddleName

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Affiliation

Sohag Univ. Hospital, Sohag, Egypt

Email

waeladel582@gmail.com

City

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Orcid

-

First Name

Mostafa

Last Name

Salah

MiddleName

-

Affiliation

Sohag Univ. Hospital, Sohag, Egypt

Email

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City

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Orcid

-

First Name

Hossam

Last Name

El azab

MiddleName

-

Affiliation

Sohag Univ. Hospital, Sohag, Egypt

Email

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City

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Orcid

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First Name

Ahmed

Last Name

Sleem

MiddleName

-

Affiliation

Sohag Univ. Hospital, Sohag, Egypt

Email

assleem75@gmail.com

City

-

Orcid

-

Volume

4

Article Issue

1

Related Issue

43157

Issue Date

2023-07-01

Receive Date

2023-01-12

Publish Date

2023-07-01

Page Start

15

Page End

24

Print ISSN

2682-4744

Online ISSN

2314-6710

Link

https://ejor.journals.ekb.eg/article_314665.html

Detail API

https://ejor.journals.ekb.eg/service?article_code=314665

Order

3

Type

Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Type Code

1,828

Publication Type

Journal

Publication Title

Egyptian Journal of Orthopedic Research

Publication Link

https://ejor.journals.ekb.eg/

MainTitle

THE CLINICAL AND RADIOLOGICAL OUTCOMES OF THE USE OF ELASTIC INTRA-MEDULLARY NAILS IN THE FIXATION OF FRESH NON-COMMINUTED MID-SHAFT CLAVICLE FRACTURES IN ADULTS.

Details

Type

Article

Created At

28 Dec 2024