Hrushikesh Saraf1, Sarang Kasture2. 1. Shashwat Hospital, Kothrud, Pune, Maharashtra, India. 2. Department of Orthopaedics, MIMER Medical College, Talegaon Dabhade, Pune, India.
Abstract
BACKGROUND: Intramedullary nailing for fractures of middle third clavicle has become increasingly popular. Though open nailing has been widely described, closed nailing finds less mention. OBJECTIVES: In this study we compared closed nailing with open nailing in fractures of middle third of clavicle to assess if the former holds any advantage. MATERIAL AND METHODS: 34 patients with closed nailing were compared to 31 patients with open nailing in terms of operative time, length of incision, pain, time to union and functional outcome. RESULTS: Only operative time and length of incision were significantly more in open group than in closed group. DISCUSSION: We believe that closed reduction can be attempted in all patients undergoing nailing for middle third clavicle fracture but surgeon should have a low threshold to open the fracture if closed reduction fails as functional outcome and time to union remains unaffected.
BACKGROUND: Intramedullary nailing for fractures of middle third clavicle has become increasingly popular. Though open nailing has been widely described, closed nailing finds less mention. OBJECTIVES: In this study we compared closed nailing with open nailing in fractures of middle third of clavicle to assess if the former holds any advantage. MATERIAL AND METHODS: 34 patients with closed nailing were compared to 31 patients with open nailing in terms of operative time, length of incision, pain, time to union and functional outcome. RESULTS: Only operative time and length of incision were significantly more in open group than in closed group. DISCUSSION: We believe that closed reduction can be attempted in all patients undergoing nailing for middle third clavicle fracture but surgeon should have a low threshold to open the fracture if closed reduction fails as functional outcome and time to union remains unaffected.
Authors: Conor P Kleweno; Andrew Jawa; Jessica H Wells; Travis G O'Brien; Laurence D Higgins; Mitchel B Harris; Jon J P Warner Journal: J Shoulder Elbow Surg Date: 2011-07-01 Impact factor: 3.019
Authors: Frans-Jasper G Wijdicks; R M Houwert; Peter J Millett; Egbert J J M Verleisdonk; Olivier A J Van der Meijden Journal: Can J Surg Date: 2013-02 Impact factor: 2.089