Titanium elastic nail fixation for clavicular fractures in adults

ObjectivesClavicular fractures account for 2% of all fractures, and more than 80% involve the middle third of the clavicle. Various modalities of treatments have been explained for the same in literature, including nonoperative and operative. Plate fixation has been associated with many complications, whereas nonoperative associated with delayed union, nonunion and mal union.We report case series treated with Titanium elastic nail to fix the displaced midclavicular fractures without comminution.Materials and methods20 patients with midclavicular fractures without comminution were included for the study. All were male patient with a mean age of 32.05 years (range 24–40 years). The mean course of the disease was 4 days. Patients were followed up at an interval of 2, 6, 12 weeks till fracture union and Constant Score was used to assess the disability of the upper arm. Fracture reduction and healing were followed up by X-rays to analyze internal fixation with the titanium elastic technique.ResultsAll patients were followed up till the fracture union with mean of 4.5 months. The mean bone union time was 12.45 weeks (11–14 weeks). The Constant Score of 94.61 was attained at the latest follow-up. None of the patients had any complications. The anatomical reduction, functional recovery and appearance were satisfactory in all patients.ConclusionThe treatment of adult midclavicular fractures with Titanium elastic nail provides adequate fixation, faster recovery with early return to normal function.