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  2. Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre

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Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre

    Author

    • Dineshram Devakumar, Rameejan Begum, Pratheesh Mohanraj, Adhiyamaan RV, F. Abdul Khader, Samutirika Devi Manoharan, Misab Bin Muhammad, Harish. S, Naim Akbar, Rupesh Kanna .

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Document Type : Research Article

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Abstract

Background:To compare and study the functional outcome of displaced midshaft clavicle fractures Between surgical fixation using Open reduction with internal fixation (ORIF) plating and Titanium Elastic nailing system (TENS). Methods: A total of 65 patients with displaced midshaft clavicle fractures (aged between 20-65 years) were randomly allocated to ORIF (n=34; Mean age 43.59±15.55 years; 55.9% males) or TENS (n=31; Mean age 43.36±16.08 years; 61.3% males) groups. Preoperative demographic, clinical characteristics and functional status in terms of Disabilities of Shoulder and Hand (DASH) scores were noted. Intraoperative blood loss and transfusion need were noted. Post-operative complications, duration of hospital stay and mobilization time were noted. The patients were followed up at 2 weeks, 3 months and 6 months follow-ups. At each follow-up functional outcome was noted in terms of DASH scores. Final functional status was measured at 6 months. Data was compared using chi-square and student ‘t’-tests. Results: The two groups were matched statistically for preoperative demographic, clinical and functional characteristics. Mean preoperative DASH scores were 78.47±2.85 and 78.16±3.26 respectively in ORIF and TENS groups. No significant difference in intraoperative and postoperative clinical course was seen between the two groups. Time taken for mobilization was 5.97±1.51 and 5.90±1.25 days respectively in ORIF and TENS groups whereas mean duration of hospital stay was 12.15±1.42 and 11.87±1.98 days respectively in the corresponding group. At six months DASH scores were 24.32±7.27 and 25.00±8.15 respectively in ORIF and TENS groups. An improvement of 69% and 68% in mean DASH scores was seen in the two study groups showing the difference not to be significant. Conclusion:  Both ORIF as well as TENS have comparable clinical and functional outcome in management of displaced midshaft clavicle fractures. Trial registration:Clinical Trials Registry-India (ICMR-NIMS) - CTRI/2022/12/048509
URL of the trial registry: http://www.ctri.nic.in.

Keywords

  • Open reduction and internal fixation (ORIF)
  • Titanium Elastic Nailing System (TENS)
  • Midshaft clavicle fractures
  • functional outcome
  • Disabilities of Shoulder and Hand (DASH)
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European Journal of Molecular & Clinical Medicine
Volume 9, Issue 8 - Issue Serial Number 8
December 2022
Page 1697-1708
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  • Article View: 17
  • PDF Download: 38

APA

., D. D. R. B. P. M. A. R. F. A. K. S. D. M. M. B. M. H. S. N. A. R. K. (2023). Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre. European Journal of Molecular & Clinical Medicine, 9(8), 1697-1708.

MLA

Dineshram Devakumar, Rameejan Begum, Pratheesh Mohanraj, Adhiyamaan RV, F. Abdul Khader, Samutirika Devi Manoharan, Misab Bin Muhammad, Harish. S, Naim Akbar, Rupesh Kanna .. "Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre". European Journal of Molecular & Clinical Medicine, 9, 8, 2023, 1697-1708.

HARVARD

., D. D. R. B. P. M. A. R. F. A. K. S. D. M. M. B. M. H. S. N. A. R. K. (2023). 'Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre', European Journal of Molecular & Clinical Medicine, 9(8), pp. 1697-1708.

VANCOUVER

., D. D. R. B. P. M. A. R. F. A. K. S. D. M. M. B. M. H. S. N. A. R. K. Comparative Study Of Open Reduction Internal Fixation With Plating Versus Percutaneous Titanium Elastic Nailing System For Treatment Of Mid Shaft Clavicle Fracture In Tertiary Care Centre. European Journal of Molecular & Clinical Medicine, 2023; 9(8): 1697-1708.

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