A study on functional outcome analysis of operative – titanium elastic nailing system (tens) versus non operative treatment of midshaft clavicle fractures

Introduction: Clavicle fractures account for 2.6% of all fractures. Most common type is mid shaft fracture (80%). Operative treatment is playing an increasingly important role. Most of the conservative treatments need regular adjustment, are cumbersome and inconvenient to the patients.
Material and Methods: Study is conducted in the Institute of Orthopaedics, Rajiv Gandhi government general hospital, chennai. on patients with displaced or comminuted clavicle fractures middle third. Patients divided into Group A (managed conservatively) and Group B (operative fixation with TENS).
Results: In all patients of GROUP B union of bone was observed. 12 patients were satisfied with their shoulder functions. Range of movements were better in GROUP B compared to GROUP A.
Conclusion: TENS Nailing for clavicle middle third fractures provides an acceptable alternative method for the fixation of displaced midshaft clavicular fractures in active age group and delivers better results in adjacent joint function, radiological union and restoring anatomy than the conservative management.