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European Journal of Orthopaedic Surgery & Traumatology

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01-07-2015 | Original Article • SHOULDER - TRAUMA

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Authors: Hongbin Bi, Yongqing Wang, Qingguang Xiong, Yi Li, Zhihui Zhao, Zhiqiang Yang

Published in: European Journal of Orthopaedic Surgery & Traumatology | Issue 5/2015

Abstract

Background

Intramedullary fixation of midclavicular fractures has been described as a minimally invasive operation with few complications. The purpose of this study was to assess the effectiveness of the threaded elastic intramedullary nail (TEIN, made in Kang Li Min Medical Devices Co. Ltd., Tianjin, China) in the treatment of midclavicular fractures.

Methods

Between 2010 and 2013, 45 patients with midclavicular fractures, who received closed reduction and intramedullary fixation, were treated with the TEIN in our department. Clinical outcomes were evaluated after a follow-up of 14 (3–42) months. We used the Constant score and the disabilities of the arm, shoulder and hand (DASH) scale to determine the outcomes.

Results

The mean time of the operation was 22.4 (13–40) min. The rate of the closed reduction was 64 %. The mean time of the follow-up was 14 (3–42) months. With regard to complications, there was no occurrence of neurovascular impairment, pulmonary injuries, infection, shortening, refracture or nonunion. All of the patients displayed excellent shoulder function, with a mean Constant shoulder score of 96.5 (64–100) and a mean DASH score of 1.4 (range 0–100) at the latest follow-up.

Conclusion

Closed reduction and intramedullary fixation of midclavicular fractures with the TEIN present a safe and minimally invasive surgical technique, achieving excellent aesthetic and early recovery after surgery.

Level of evidence

Treatment Study, Level II.

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Title: Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails
Authors: Hongbin Bi
Yongqing Wang
Qingguang Xiong
Yi Li
Zhihui Zhao
Zhiqiang Yang
Publication date: 01-07-2015
Publisher: Springer Paris
Published in: European Journal of Orthopaedic Surgery & Traumatology / Issue 5/2015
Print ISSN: 1633-8065
Electronic ISSN: 1432-1068
DOI: https://doi.org/10.1007/s00590-015-1633-2

At a glance: The STEP trials

Springer Medicine

Minimally invasive fixation of midclavicular fractures with threaded elastic intramedullary nails

Abstract

Background

Methods

Results

Conclusion

Level of evidence

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Level of evidence

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