Management of Displaced Mid Shaft Clavicle Fractures by Flexible Intramedullary Nail

Background: Most clavicle fractures heal uneventfully without serious consequences with non operative treatment.With changing trends in treatment of displaced mid shaft clavicle fracture (DMCF), plating remains the standard procedure for fixation.An attractive alternate method of fixation is Titanium Elastic Nailing (TEN).Material and Method: 25 unilateral displaced mid shaft clavicular fracture of either sex operated with TEN were included in the study.This prospective study was approved by ethical committee.They were operated with TEN.They were evaluated clinically and radiologically and outcome was assessed by constant score.Result: In this study of 25 cases, TENS led to significantly shorter time to union especially for simple fractures.All patients got fracture union.At 15 months after intramedullary fixation patients were more satisfied with the appearance of shoulder and overall outcome.DASH scores were lower and constant score higher.Conclusion: Use of minimal invasive TEN for fixation of displaced mid shaft clavicle fracture is recommended in view of faster fracture union, lesser morbidity, better cosmetic results, easier implant removal and fewer complications.