Efficacy of titanium elastic intramedullary nail for treatment of clavicular shaft fractures in young and adolescent patients
10.3760/cma.j.issn.1671-7368.2019.02.016
- VernacularTitle:钛制弹性髓内钉治疗青少年锁骨中段骨折的疗效分析
- Author:
Lei HAN
1
;
Yungen HU
;
Weili FANG
;
Bo JIN
;
Shichao XU
Author Information
1. 杭州市萧山中医院骨科八病区 311201
- Keywords:
Clavicle;
Fractures;
bone;
Adolcscent;
Fracture fixation;
intramedullary
- From:
Chinese Journal of General Practitioners
2019;18(2):175-177
- CountryChina
- Language:Chinese
-
Abstract:
From January 2012 to January 2017,98 patients with clavicular fractures were treated with titanium elastic intramedullary nail(TEN),including 58 males and 40 females with an average age of 14.5 years (11-18 years).The mean time from injury to surgery was 4.2 d (2-7 d).Sixty nine cases were treated by closed reduction and 29 cases by 2-3 cm incision.Constant function scores and disability of the arm shoulder and hand (DASH) scores were compared before surgery and 4 wks after surgery;Neer function scores at 3 months after surgery were compared between the injured side and unaffected side.All patients were reexamined at a mean follow-up of 6.5 months (3-8 months),and fracture union was determined by X-ray.The results showed that the bony union was ranged from 8-16 weeks with an average of 12.4 weeks.There were 4 cases with soft tissue irritation;no cases of infection,TEN broken,delayed healing were observed.The Constant score rose from 41.7±4.8 before operation to 92.6±3.2 at 4 weeks after operation (t=16.67,P＜0.01);the DASH score rose from 3.8±2.1 before operation to 15.8±1.8 at 4 weeks after operation (t=8.59,P＜0.01).There was no significant difference in Neer score at 3 months after treatment between unaffected side and injured side (98.56±2.41 vs.97.45±3.32,t=1.64,P＞0.05).The TEN was removed after showing bone healing on X-ray film.The study indicates that using TEN has advantages of less invasiveness,reliable fixation and rapid functional improvement of shoulder for treatment of clavicular fracture in young and adolescent patients.
