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Journal articles on the topic 'Displaced Clavicle Fracture Intramedullary Nailing'

Author: Grafiati

Published: 5 June 2025

Last updated: 15 July 2025

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1

Gadegone, Wasudeo, Vijayanad Lokhande, and Yogesh Salphale. "The Screw Intra-medullary Elastic Nail Fixation in fresh Displaced Mid Shaft Clavicle Fractures – Technical note." Trauma International 2, no. 2 (2016): 53–55. http://dx.doi.org/10.13107/ti.2016.v02i02.031.

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Conservative treatment remains the gold standard in treatment of simple undisplaced midshaft clavicle fractures, but for displaced and comminuted fractures surgical intervention is appropriate especially in young active adults. Surgical stabilisation can be achieved using either a plate or an intramedullary device. One of dreaded complication of intramedullary device in migration of the implant. We have used a screw intramedullary device with screw mechanism at one end which can get hold in the medial cancellous bone, thus preventing chances of migration. This report describes the technique of

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Khavte, Kiran P., Rohan K. Khavte, Sandhya K. Khavete, and Sampada Khavte. "A Case Series on Tens Nailing in Fracture Clavicle." International Journal of Medical and Biomedical Studies 7, no. 8 (2023): 19–22. http://dx.doi.org/10.32553/ijmbs.v7i8.2734.

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Introduction: One of the most frequently fractured bones, the clavicle accounts for 2.6–4% of all fractures. 73% of these are displaced midshaft clavicular fractures, and 69 to 82% of these occur in the middle portion of the clavicle. For displaced clavicle fractures, including one with NV compromise and skin tenting, surgery has been recommended. Peroni published the first description of intramedullary treatment for clavicular fractures in 1950. The adoption of a TENS nail has benefits such as less soft tissue damage, a shorter surgical procedure, better cosmetic outcomes, load sharing fixati

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Danish, Md, Hemant Gupta, Ashish Sao, and Ravi Kant. "Tens Nailing in Fracture Clavicle – A Case Series." Trauma International 8, no. 2 (2022): 17–20. http://dx.doi.org/10.13107/ti.2022.v08i02.029.

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INTRODUCTION: Clavicle is one of the most commonly fractured bones accounting for 2.6 – 4 % of all the fractures. 69 – 82% of these occur in middle third of clavicle, 73 % of which are displaced midshaft clavicular fractures). Surgery has been indicated for displaced fractures of clavicle, one with NV compromise and skin tenting. Intramedullary fixation for clavicular fractures was first described by Peroni in 1950. The use of a TENS nail carries advantages of less soft tissue compromise, less operative time, better cosmetic results, load sharing fixation with relative stability that encourage

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4

Stark, Michael J., and Michael J. DeFranco. "Elastic Intramedullary Nailing of a Medial Clavicle Fracture in a Pediatric Patient." Case Reports in Orthopedics 2017 (2017): 1–4. http://dx.doi.org/10.1155/2017/6354284.

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Introduction. Injuries to the medial clavicle in pediatric patients typically involve the physis and/or sternoclavicular joint. Clavicle fractures are one of the most common injuries in children, but ones at its medial end are rare. Most medial clavicle fractures are treated nonoperatively, but surgery is indicated in some cases. This original case report is unique in describing the use of an elastic intramedullary nail for fixation of a completely displaced medial clavicle fracture in a pediatric patient. Case Presentation. A pediatric patient sustained a completely displaced fracture of the

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5

Kothale, Jayant, Rajesh Turkar, Sparsh Naik, and Ashok Vidyarthi. "FUNCTIONAL OUTCOME OF DISPLACED CLAVICLE FRACTURE TREATED BY INTRAMEDULLARY NAILING: A PROSPECTIVE STUDY." International Journal of Advanced Research 10, no. 08 (2022): 1258–66. http://dx.doi.org/10.21474/ijar01/15295.

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Background:Clavicle fracture is one of the most common injury.Despite the high incidence, the choice of proper treatment is still controversial. This prospective study was done to evaluate functional outcome of displaced clavicle fracture treated by intramedullary nailing. Material and methods:The study was conducted on 30 patients(25 males and 5 females) with displaced/comminuted clavicle fracture treated by either elastic intramedullary nails or elastic intramedullary nails with endcap.Followupexamination for functional and radiological evaluationwas done at 1 month,3 months and 6 months. Re

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6

Samarth, Singh, and Ponde Saurabh. "Comparison between Intra-Medullary Nailing Versus Plating for Displaced Mid-Shaft Clavicle Fracture." International Journal of Toxicological and Pharmacological Research 14, no. 11 (2024): 240–43. https://doi.org/10.5281/zenodo.14589387.

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<strong>Background:</strong> Clavicle fracture is common fracture in orthopaedics practice because of its subcutaneous and relatively its anterior position. Clavicle fracture constitutes approximately 40-44% of injury to shoulder. Displaced mid-shaft clavicle fractures are most common. But the optimal fixation strategy is still controversial. With this background, we decided to conduct a study in which we compare the two most common type of fixation strategies (Plate fixation versus Intra-medullary nailing) in displaced mid-shaft clavicle fracture, to evaluate their efficacy & safety.

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Raju, G. Bharath, V. N. Ravish, and B. M. Bharath Gowda. "Surgical Treatment of Midshaft Clavicle Fractures with Intramedullary Titanium Elastic Nailing System." Journal of Orthopaedic Diseases and Traumatology 7, no. 1 (2024): 93–98. http://dx.doi.org/10.4103/jodp.jodp_106_23.

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Abstract Introduction: Fractures of the clavicle are common injuries with an incidence of 5%–10% of all fractures. The most common site of fracture in clavicle is the middle third and accounts for approximately 70%–80% of all clavicle fractures. Clavicle fractures are usually associated with some degree of displacement. Displaced midshaft clavicle fractures can cause significant persistent disability, even if they heal uneventfully when treated conservatively. Surgery is required in case of significant fracture displacement and associated neurovascular injuries. Fractures that require internal

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8

Siddhartha, Kumar Shrest, Priyadarshi Prashant, and Azam Maseeh. "Titanium Elastic Anchoring System for Surgical Management of Midshaft Clavicle Fracture." International Journal of Pharmaceutical and Clinical Research 15, no. 10 (2023): 1367–70. https://doi.org/10.5281/zenodo.11302674.

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<strong>Background:</strong> About 76% of all clavicular fractures are midclavicular fractures, which are frequent clinically. A previously unknown prevalence of malunion and non-union after conservative treatment of more severe midclavicular fractures has been found by recent investigations. This study’s objective was to assess the clinical results of titanium elastic nail treatment for midclavicular fractures. <strong>Methods:</strong> A prospective hospital-based study carried out at JLNMCH, Bihar, India. 60 patients between the ages of 18 and 50 who had displaced midsh

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Sushil., H. Mankar, M. Dhanwani Yash., A. Jawre Aadil., and D. Tumdam Mahesh. "Functional Outcome of Intramedullary Screw Nail Fixation versus Conservative Management in Displaced Midshaft Clavicle Fractures: A Randomized Controlled Trial." International Journal of Pharmaceutical and Clinical Research 15, no. 6 (2023): 1567–78. https://doi.org/10.5281/zenodo.12511144.

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<strong>Background</strong><strong>:</strong> Non-operative treatment is the treatment of choice for midshaft clavicle fractures. There may arise some problems like impairment of ROM of shoulder, disfigurement of the local area with bump at the site for the fracture which may be cosmetically distressing to patient and nonunion can occur when grossly displaced fractures are treated non-operatively. Patients with displaced clavicle fractures can be managed with either ORIF with plating or CRIF with intramedullary nailing. Problem with intramedullary nailing of clavicle was implant migration

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10

Kumar, Kamal, Rajesh Kapila, Raminder Singh, and Priti Chaudhary. "Clinical and radiological outcome of three treatment modalities for fracture clavicle: A comparative prospective study." Journal of Clinical and Scientific Research 13, no. 3 (2024): 207–15. http://dx.doi.org/10.4103/jcsr.jcsr_152_23.

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Abstract Background: The present treatment trend for fracture clavicle is fast changing from conservative treatment previously and is having a paradigm shift towards open reduction and internal fixation with a plate/intramedullary (IM) fixation. Methods: Ninety patients between 30 and 60 years of age with fresh closed, displaced midshaft clavicular fracture and fit for surgery were randomised to receive either conservative (non-operative) treatment (n = 30) or primary open reduction and plate fixation or IM fixation (n = 30). Results: The mean age of the patients was 32.5 years. Union at the f

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Jain, R. K., Arjun Jain, Aayush Kumar Soni, and Srajan Jain. "ACOMPARATIVE STUDY OF THE FUNCTIONAL ANDRADIOLOGICAL OUTCOME OF DISPLACED MID SHAFT CLAVICLE FRACTURE MANAGED WITH INTRAMEDULLARY NAILING AND PLATING." International Journal of Advanced Research 11, no. 03 (2023): 837–45. http://dx.doi.org/10.21474/ijar01/16500.

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Introduction: Clavicle fractures are common injuries in young, energetic people, especially those whoplaysportsinvolvingfrequentviolentcollisionsorhigh-speedfalls(e.g.,football,hockey),butinchildrenandtheelderlytheyareassociatedwithfallsandmakeupabout2.6%ofallfractures(1-3). The most common site of fracture in the clavicle occurs at the middle third and whichaccounts for almost 80% of all clavicle fractures. Withcarefulmanagement,Neerreportedanon-unionrateof0.1%(4),andRoweconfirmedthesefindingsin1968bydemonstratinganon-unionrateof0.8%inpatients.(6)Sincethen,though, other authors have been unab

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Alwani, Dr Prashant Laxmichand, Dr Pradeep Narhar Kulkarni, Dr Nishant Kiran Gaonkar, Dr Gaurangkumar Chanchpara, Dr Mihirkumar Solanki, and Dr Jayesh Balasaheb Pawar. "Displaced midshaft clavicle fractures: Conservative VS intramedullary nailing." International Journal of Orthopaedics Sciences 3, no. 2b (2017): 93–98. http://dx.doi.org/10.22271/ortho.2017.v3.i2b.18.

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13

Genena, Ahmed, Amr Abouelela, Ramy Mohamed, and Ahmed Nagi. "Clinical Outcome of Percutaneous Intramedullary Fixation for Midshaft Clavicular Fractures Using Elastic Stable Nails." Ortopedia Traumatologia Rehabilitacja 23, no. 1 (2021): 15–20. http://dx.doi.org/10.5604/01.3001.0014.7563.

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Background. This study investigated the clinical outcomes of fixation of displaced middle-third clavicular fractures using percutaneous elastic stable intramedullary nails. Material and methods. This study included sixty patients with a mean age of 26.40 ± 8.91 years (16-53 years) presented with a displaced middle third fracture of the clavicle. According to the Robinson classification, 48 cases (80%) were type 2B1, 9 cases (15%) type 2B2 and 3 case (5%) 2A1. All cases were treated by elastic intramedullary nails and followed up for at least 12 months. Results. At the end of the twelve months’

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Vishal Sharma and Paresh Vilasrao Patil. "Study Of Stabilization Of Shaft Clavicle Fractures." International Journal of Research in Pharmaceutical Sciences 11, no. 3 (2020): 3222–32. http://dx.doi.org/10.26452/ijrps.v11i3.2438.

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We have tried to assess the effects of various methods in the treatment of mid-shaft clavicle fractures for Evaluating the end effects of midshaft Clavicle fractures diagnosed in the Tertiary Treatment Centre through different surgical procedures.Assess the feasibility and risks of the various treatment modalities in relation to time required for union concerning radiological and clinical outcomes range of movements associated complications about infection, deformity and pain stability at shoulder joint . The results are evaluated according to the DASH score. The study was conducted from Octob

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15

Anuj, Dixit, VP Nishanth, Dubey Ashish, and Kiran Killi Surya. "Management of Fracture Midshaft Clavicle with Plating versus Titanium Elastic Nail System: A Comparative Study." International Journal of Pharmaceutical and Clinical Research 15, no. 3 (2023): 1097–110. https://doi.org/10.5281/zenodo.12787185.

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<strong>Introduction:</strong> One of the most frequent injuries in the body as a result of a direct trauma or fall on an extended arm is a fracture of the clavicle. Clavicle fractures, which constitute 2.6% to 10% of all fractures, are frequent injuries. Because more than 50% of clavicle fractures are displaced, recent studies have found that surgical intervention produces better functional outcomes than conservative treatment. The two surgical techniques that are most frequently used to treat midshaft clavicle fractures are plating and the Titanium Elastic Nail System. In the management

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16

Mukhtar, I. A., K. M. Yaghmour, A. F. Ahmed, and T. Ibrahim. "Flexible intramedullary nailing versus nonoperative treatment for paediatric displaced midshaft clavicle fractures." Journal of Children's Orthopaedics 12, no. 2 (2018): 104–10. http://dx.doi.org/10.1302/1863-2548.12.170185.

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Purpose The treatment of displaced midshaft clavicle fractures in children remains controversial. The purpose of our study was to compare the outcome of displaced midshaft clavicle fractures in children who were managed operatively by flexible intramedullary nailing (FIN) with nonoperative treatment. Methods A prospective review of 31 children (mean age 10.5 years) with displaced midshaft clavicle fractures treated either by FIN or nonoperatively and with at least a six-month follow-up was undertaken. In all, 24 children underwent FIN and seven underwent nonoperative treatment. The patient out

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17

Kumar, Hemant, RavinderKumar Banga, RanjitSingh Boparai, and Jaspal Singh. "Flexible intramedullary nailing for fixation of displaced midshaft clavicle fractures." Journal of Medical Sciences 38, no. 2 (2018): 67. http://dx.doi.org/10.4103/jmedsci.jmedsci_51_17.

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18

Rapp, Marion, Katharina Prinz, and Martin M. Kaiser. "Elastic Stable Intramedullary Nailing for Displaced Pediatric Clavicle Midshaft Fractures." Journal of Pediatric Orthopaedics 33, no. 6 (2013): 608–13. http://dx.doi.org/10.1097/bpo.0b013e31829d1a76.

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19

Kumar, Mallepogu Kiran, and Rajana Siva Prasad. "A prospective study of functional outcome of closed displaced mid-shaft clavicle fractures treated with intramedullary titanium elastic nail system." International Journal of Research in Orthopaedics 6, no. 4 (2020): 735. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20202676.

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<p class="abstract"><strong>Background:</strong> Clavicle fractures are most common injuries in young and active individuals, especially those who participate in sports where high-speed falls (e.g., bicycling, motorcycles) or violent collisions (e.g., Football, hockey) are frequent. In contrast, in children and elderly, they are related to falls, and they account for approximately 2.6% of all fractures. The most common site of fracture is a middle-third shaft; it accounts for 80% of all clavicle fractures.</p><p class="abstract"><strong>Methods:</strong&g

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20

S.M, Dr Shishir, Dr Lingaraj, Dr Ashish Philip Zachariah, Dr R. Kanagasabai, Dr Syed Najimudeen, and Dr James J Gananadoss. "Antegrade flexible intramedullary nailing for fixation of displaced midshaft clavicle fractures." IOSR Journal of Dental and Medical Sciences 13, no. 4 (2014): 29–37. http://dx.doi.org/10.9790/0853-13422937.

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21

Anshu, Anand, and Kumar Manav Ajoy. "Midshaft Clavicular Fractures: Intramedullary Nailing Versus Plate Fixation." International Journal of Pharmaceutical and Clinical Research 13, no. 6 (2021): 48–54. https://doi.org/10.5281/zenodo.14212238.

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<strong>Aim</strong>: The aim of this study to determine the intramedullary Nailing Versus Plate Fixation for the Treatment Displaced Midshaft Clavicular Fractures. <strong>Methods: </strong>A prospective randomised trial was conducted in the Department of Orthopaedics, Patna Medical College and Hospital, Patna, Bihar, India from December 2018 to December 2019. Those consenting to participation were randomised to open reduction and plate fixation with a 3.5 mm superior clavicular plate or a 2.0 mm to 3.5 mm titanium elastic nail in the second group. Patients with Age 18 to 58 yrs, Mi

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Fuglesang, H. F. S., G. B. Flugsrud, P. H. Randsborg, P. Oord, J. Š. Benth, and S. E. Utvåg. "Plate fixation versus intramedullary nailing of completely displaced midshaft fractures of the clavicle." Bone & Joint Journal 99-B, no. 8 (2017): 1095–101. http://dx.doi.org/10.1302/0301-620x.99b8.bjj-2016-1318.r1.

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23

Narsaria, Nidhi, Ashutosh K. Singh, G. R. Arun, and R. R. S. Seth. "Surgical fixation of displaced midshaft clavicle fractures: elastic intramedullary nailing versus precontoured plating." Journal of Orthopaedics and Traumatology 15, no. 3 (2014): 165–71. http://dx.doi.org/10.1007/s10195-014-0298-7.

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24

Annamalai, T. T., K. C. Mathew, J. Sugin Glen Baisil, A. Mohamed Zubair, G. Rohin, and Zakir Hussain Mohamed. "Functional Outcome of Plating Versus Intramedullary Nailing in Displaced Midshaft of Clavicle Fracture: A Compartive Study." Research Journal Of Medical Sciences 18, no. 11 (2024): 599–603. https://doi.org/10.36478/makrjms.2024.11.599.603.

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Zahid, Syed Hasan, Preetish Endigeri, Rahil T. Pasha, and Riyaz Bagawan. "A comparative study of anatomical plate fixation versus intramedullary nailing of middle-third clavicle fractures in Al-ameen medical college hospital." International Journal of Research in Orthopaedics 11, no. 1 (2024): 105–11. https://doi.org/10.18203/issn.2455-4510.intjresorthop20243894.

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Background: Clavicle fractures constitute 5% of adult fractures. About 80% involve the midshaft, with more than 70% displaced. Many plate and intramedullary fixation systems have been used. However, the best fixation method is still debated. Surgery includes ORIF with Anatomical Plate and CRIF with TENS. Each technique has its own advantages and disadvantages. Methods: 40 patients with displaced middle-third clavicle fractures were prospectively randomly assigned to two groups, Group-A (plating group) and Group-B (nailing group), with an equal number of 20 patients in each. The outcomes were e

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Martin, John R., Patrick E. Saunders, Mark Phillips, et al. "Comparative effectiveness of treatment options for displaced midshaft clavicle fractures." Bone & Joint Open 2, no. 8 (2021): 646–54. http://dx.doi.org/10.1302/2633-1462.28.bjo-2021-0112.r1.

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Aims The aims of this network meta-analysis (NMA) were to examine nonunion rates and functional outcomes following various operative and nonoperative treatments for displaced mid-shaft clavicle fractures. Methods Initial search strategy incorporated MEDLINE, PubMed, Embase, and the Cochrane Library for relevant randomized controlled trials (RCTs). Four treatment arms were created: nonoperative (NO); intramedullary nailing (IMN); reconstruction plating (RP); and compression/pre-contoured plating (CP). A Bayesian NMA was conducted to compare all treatment options for outcomes of nonunion, maluni

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Kadakia, AnishP, Rohit Rambani, Faisal Qamar, Steven McCoy, Lutz Koch, and Balachandran Venkateswaran. "Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases." International Journal of Shoulder Surgery 6, no. 3 (2012): 82. http://dx.doi.org/10.4103/0973-6042.102557.

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28

Govindasamy, Rajesh, Saravanan Kasirajan, Jimmy Joseph Meleppuram, and Fawas Thonikadavath. "A retrospective study of titanium elastic stable intramedullary nailing in displaced mid-shaft clavicle fractures." Revista Brasileira de Ortopedia (English Edition) 52, no. 3 (2017): 270–77. http://dx.doi.org/10.1016/j.rboe.2016.07.005.

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Aditya, Kumar Jha, K. Baranwal A, and Prakash Surya. "Assessment of the Outcome after Treatment of the Displaced Midshaft Clavicular Fractures Using two Different Approaches." International Journal of Pharmaceutical and Clinical Research 13, no. 4 (2021): 265–71. https://doi.org/10.5281/zenodo.14203676.

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<strong>Aim:</strong> The aim of this study to determine the intramedullary Nailing Versus Plate Fixation for the Treatment Displaced Midshaft Clavicular Fracturesn <strong>Methods: </strong>A prospective randomised trial was conducted in the Department of Orthopedics, MGM Medical College Jamshedpur, Jharkhand, India from Feb 2020 to February 2021. Those consenting to participation were randomised to open reduction and plate fixation with a 3.5 mm superior clavicular plate or a 2.0 mm to 3.5 mm titanium elastic nail in the second group. Patients with Age 18 to 58 yrs, Mid-shaft

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Kettler, Mark, Matthias Schieker, Volker Braunstein, Matthias König, and Wolf Mutschler. "Flexible intramedullary nailing for stabilization of displaced midshaft clavicle fractures: Technique and results in 87 patients." Acta Orthopaedica 78, no. 3 (2007): 424–29. http://dx.doi.org/10.1080/17453670710014022.

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Chachan, Sourabh, and Biswajit Sahu. "Evaluation of minimally invasive fixation with ESIN in the management of displaced mid-shaft clavicle fractures: a case series with minimum of 2 years follow-up." International Journal of Research in Orthopaedics 3, no. 1 (2016): 86. http://dx.doi.org/10.18203/issn.2455-4510.intjresorthop20164830.

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<p class="abstract"><strong>Background:</strong> Over the last few years, operative treatment has become the standard for treatment of clavicle fractures. Both plating and intra-medullary pinning techniques are available for treating clavicle fractures. The aim of the study was to evaluate the role of minimally invasive technique using elastic stable intramedullary nailing (ESIN) in surgical treatment of displaced mid-shaft clavicle fractures<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> It is a prospective cas

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Zehir, Sinan, Regayip Zehir, Ercan Şahin, and Murat Çalbıyık. "Comparison of novel intramedullary nailing with mini-invasive plating in surgical fixation of displaced midshaft clavicle fractures." Archives of Orthopaedic and Trauma Surgery 135, no. 3 (2015): 339–44. http://dx.doi.org/10.1007/s00402-014-2142-1.

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Hill, Christopher Edward. "Is intramedullary nailing more effective than non-operative treatment in adults with displaced middle-third clavicle fractures?" Journal of Orthopaedics and Traumatology 15, no. 3 (2014): 155–64. http://dx.doi.org/10.1007/s10195-014-0299-6.

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Frima, H., M. H. J. Hulsmans, R. M. Houwert, et al. "End cap versus no end cap in intramedullary nailing for displaced midshaft clavicle fractures: influence on implant-related irritation." European Journal of Trauma and Emergency Surgery 44, no. 1 (2017): 119–24. http://dx.doi.org/10.1007/s00068-017-0784-8.

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Ricci, William M. "In Completely Displaced Midshaft Fractures of the Clavicle, Plate Fixation and Elastic Stable Intramedullary Nailing Did Not Differ in Function at One Year." Journal of Bone and Joint Surgery 100, no. 10 (2018): 883. http://dx.doi.org/10.2106/jbjs.18.00169.

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Fuglesang, Hendrik F. S., Gunnar B. Flugsrud, Per-Henrik Randsborg, Ola-Lars Hammer, and Stein Erik Utvåg. "Five-Year Follow-up Results of a Randomized Controlled Study Comparing Intramedullary Nailing with Plate Fixation of Completely Displaced Midshaft Fractures of the Clavicle in Adults." JBJS Open Access 3, no. 4 (2018): e0009. http://dx.doi.org/10.2106/jbjs.oa.18.00009.

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37

Naziat, Devuandre, and David Haryadi. "FIXATION OF A CLOSED DISPLACED MIDSHAFT CLAVICLE FRACTURE BY INTRAMEDULLARY K-WIRE: A CASE REPORT." (JOINTS) Journal Orthopaedi and Traumatology Surabaya 10, no. 2 (2021): 64. http://dx.doi.org/10.20473/joints.v10i2.2021.64-69.

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Background: Fractures of the clavicle record for practically 50% of all injuries in the shoulder girdle. In recent years, the treatment paradigm for clavicle fractures has shifted from nonoperative treatment toward operative treatment, especially in fractures with significant displacement or shortening. Case Report: A 16 years old female presented to the emergency room with an injury on her right shoulder after a motorcycle accident. The radiograph showed a displaced midshaft clavicle fracture, classified as Robinson 2B1. Operative measures were performed using intramedullary K-Wire. Discussio

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Kumar, R. Manoj, E. Pradeep, Dinesh Kumar Sugananthan, K. V. Arun Kumar, Sheik Mohideen, and V. Y. Ashwin. "Titanium Elastic Nail System for Middle One-Third Clavicle Fractures: Impact on Functional Recovery." Journal of Orthopaedic Case Reports 15, no. 3 (2025): 275–80. https://doi.org/10.13107/jocr.2025.v15.i03.5410.

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Introduction: Clavicle fractures are a common traumatic injury, often treated conservatively. However, displaced midshaft fractures present risks of complications such as delayed union and malunion. Surgical intervention, including open reduction and internal fixation and titanium elastic nailing system (TENS), offers better outcomes for these fractures. This study evaluates the effectiveness of TENS in treating midshaft clavicle fractures. Functional recovery was assessed using the Constant-Murley score, while radiological outcomes tracked fracture union. Aim and Objective: The study aimed to

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STORTI, THIAGO MEDEIROS, MAURÍCIO SIQUEIRA CAMILO, RAFAEL FRANCISCO ALVES SILVA, RAFAEL SALOMON SILVA FARIA, CAROLINA LIMA SIMIONATTO, and ALEXANDRE FIRMINO PANIAGO. "CLINICAL EVALUATION OF THE TREATMENT OF CLAVICLE FRACTURES: INTRAMEDULLARY NAIL × PLATE." Acta Ortopédica Brasileira 29, no. 1 (2021): 34–38. http://dx.doi.org/10.1590/1413-785220212901231439.

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ABSTRACT Objective: Studies confirm the benefit of surgical treatment for fixation of displaced midshaft clavicle fractures. Plate fixation and intramedullary nail are the two most used techniques. Our study seeks to compare these two surgical techniques. Methods: This is a retrospective study, conducted by the evaluation of patients treated for displaced midshaft clavicle fracture with intramedullary nail, and plate and screws. Socioeconomic variables were collected, a visual pain scale questionnaire was applied, the shoulder function was measured using CONSTANT and UCLA scores, and radiograp

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Qureshi, Kashif Khurshid, Imran Anjum, Rao Tayyab Mehmood, Iram Habib, Ahmed Jasra, and Khalid Z. Aslam. "Outcome of Elastic Stable Intramedullary Nailing (ESIN) for tibia fractures in children." Professional Medical Journal 28, no. 01 (2021): 16–21. http://dx.doi.org/10.29309/tpmj/2021.28.01.5818.

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Objectives: To determine outcome in displaced tibial shaft fracture in children treated with elastic stable intra-medullary nailing. Study Design: Descriptive, Case Series study. Setting: Department of Orthopedic, Bahawal Victoria Hospital, Bahawalpur, HBS Medical & Dental College, Islamabad and HITEC-IMS Taxila Cantt, Pakistan. Period: 2012 to 2019. Material & Methods: A total of 62 cases of displaced tibial shaft fracture presenting within 7 days of the injury, 6 to 11 years of age of either gender were included. Patients with segmental tibial shaft fractures and open tibial shaft fr

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Wang, Jin Man, Kwon Jae Roh, Yeo Hon Yun, Dong Jun Kim, and In Hwan Ji. "Intramedullary Nailing with Knowles Pin for the Clavicle Shaft Fracture." Journal of the Korean Orthopaedic Association 31, no. 2 (1996): 211. http://dx.doi.org/10.4055/jkoa.1996.31.2.211.

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Van Royen, Kjell, and Bart Berghs. "Entrapment of the Median Nerve after Elastic Intramedullary Nailing of a Pediatric Forearm Fracture." Journal of Hand Surgery (Asian-Pacific Volume) 25, no. 02 (2020): 232–35. http://dx.doi.org/10.1142/s2424835520720066.

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Closed reduction and fixation with elastic intramedullary nails is a popular technique to treat displaced pediatric forearm fractures and has yielded good functional results. Postoperative neurological symptoms can be due to neuropraxia and expectative treatment has been advised for 3 months until further investigation is necessary. We present a case of an 11-year-old boy that presented with median nerve palsy 2 months after a displaced forearm fracture treated with elastic intramedullary nails. Ultrasound and nerve conduction study confirmed the presence of a median nerve entrapped in the cal

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Ali Siddiqui, Areeb, Avinash Rastogi, Rahul K Gupta, and Arunim Swarup. "Treatment Outcomes of Flexible Intramedullary Nailing in Fracture Shaft of Clavicle." International Journal of Science and Research (IJSR) 11, no. 4 (2022): 318–21. http://dx.doi.org/10.21275/sr22401190716.

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Talebi, Shahin, and Shayan Amjadi. "An Occult Ipsilateral Femoral Neck Fracture Associated With Mid-Shaft Femur Fracture." Journal of Research in Orthopedic Science 7, no. 4 (2020): 185–88. http://dx.doi.org/10.32598/jrosj.7.4.703.1.

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Occult ipsilateral femoral neck fractures associated with femoral shaft fractures are frequently missed. They may lead to adverse outcomes, such as fracture displacement and delayed treatment followed by poor outcomes, including delayed union, malunion, nonunion, and osteonecrosis, which may lead to early arthroplasty. These adverse effects can be prevented by the awareness of this combined injury pattern, the adequate preoperative and intraoperative imaging of the femoral neck, and proper treatment. A 27-year-old man was admitted with a displaced fracture of the right femur. Fluoroscopic eval

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Tamiya, Hironari, Hiroki Hagizawa, Takaaki Nakai, et al. "Endoprosthetic Reconstruction for a Displaced Atypical Femoral Fracture in a Cancer Patient with Poor Prognosis." Case Reports in Orthopedics 2018 (September 20, 2018): 1–5. http://dx.doi.org/10.1155/2018/7862516.

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Zoledronate or denosumab treatment is beneficial for cancer patients with bone metastasis. However, each agent may trigger atypical femoral fractures. Incomplete atypical femoral fractures can be successfully treated with prophylactic intramedullary nailing. On the other hand, intramedullary nailing for displaced atypical femoral fractures occasionally causes problems with regard to bone healing, resulting in long-term treatment. In cancer patients with poor prognosis who experience atypical femoral fractures, improvement in activities of daily living should be the priority. Thus, we performed

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Kushwaha, Mukesh Prasad, and Vandana Mourya. "Functional and Radiological Outcomes with Intramedullary Interlocking Nailing of Tibial Shaft Fracture." Med Phoenix 7, no. 1 (2022): 83–87. http://dx.doi.org/10.3126/medphoenix.v7i1.47176.

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Introduction: Tibia is the most common long bone involved in fracture during Road Traffic Accident (RTA) because of its subcutaneous location. Intramedullary nail fixation remains the treatment of choice for unstable and displaced tibial shaft fractures in the adult. The goals of surgical treatment are to achieve osseous union and to restore length, alignment, and rotation of the fractured tibia. Intramedullary nailing carries the advantage of minimal surgical dissection with appropriate preservation of blood supply to the fracture site. Materials and Methods: This is a prospective observation

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Vinod, Chandrashekaran Nair, Jawa Satyam, Solunke Swaroop, and Rohidas Shinde Omkar. "Comparative Study Between Plating and Titanium Elastic Nailing System in Mid-Clavicular Fractures." International Journal of Pharmaceutical and Clinical Research 15, no. 8 (2023): 475–81. https://doi.org/10.5281/zenodo.11488429.

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<strong>Background:</strong> Fracture of the clavicle is one of the most common bony injuries. The clavicle lacks a medullary cavity and is late to heal. Hence, proper technique is mandatory to heal the fracture as soon as possible. Hence, it has become a challenge for orthopaedic surgeons. <strong>Method:</strong> Out of 30 patients with clavicle fractures, 15 were treated with TENS and 15 with plating. Routine blood examination (CBC), an ECG, radiological study was carried out, and general anaesthesia was given. <strong>Results:</strong> Mean blood loss, timing for s

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Tanish, Patil, Khambalkar Shouryashil, Ghorpade Kapil, Patil Jaydeep, and Naik Nagesh. "Functional Outcome of Clavicle Shaft Fractures with Intramedullary Nailing: An Observational Study." International Journal of Pharmaceutical and Clinical Research 15, no. 9 (2023): 1045–51. https://doi.org/10.5281/zenodo.11370981.

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<strong>Objectives: </strong>The aim of the study was to analyse functional and radiological outcomes associated with clavicle fractures managed using intramedullary nailing. <strong>Methods: </strong>This was an observational study in which 80 patients with midshaft clavicular fractures were included on the basis of a predefined inclusion and exclusion criteria. The study was conducted in the department of orthopaedics of a tertiary care medical college situated in a semi-urban area. Demographic details and mechanism of injury was noted. All patients were treated by intramedull

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Pizzolo, Samuele, Gianluca Testa, Giacomo Papotto, et al. "Open Tibial Fracture in a Non-Compliant Patient: A Case Report." Journal of Functional Morphology and Kinesiology 3, no. 3 (2018): 44. http://dx.doi.org/10.3390/jfmk3030044.

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Open tibial fractures represent the most frequent fractures of long bones, comprising approximately 1.9% of all fractures. Although locked intramedullary nailing is the gold standard for treating closed and unstable tibia diaphyseal fractures, for most exposed fractures, an external fixator can first be used, followed by conversion through an intramedullary nail. The present report describes the case of a 17-year-old male who presented with a complex multi-segmented displaced tibia fracture, type 42-C3, with exposure of IIIB type according to the Gustilo–Anderson classification, and with an at

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Alito, Angelo, Domenico Fenga, Giada Tropeano, et al. "Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis." Bioengineering 10, no. 12 (2023): 1402. http://dx.doi.org/10.3390/bioengineering10121402.

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Clavicle midshaft fractures are mostly treated surgically by open internal reduction with a superior or anteroinferior plate and screws or by intramedullary nailing. Screw positioning plays a critical role in determining the stress distribution. There is a lack of data on the screw position and the appropriate number of cortices required for plate fixation. The aim of this study is to evaluate the mechanical behavior of an anterior plate implanted in a fractured bone subjected to 120° of lateral elevation compared to a healthy clavicle using numerical simulations. Contact forces and moments us

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