Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 13-16

Comparison of the functional outcome of intramedullary nailing versus plating in displaced midclavicular fractures

Department of Orthopaedics, SN Medical College, Agra, Uttar Pradesh, India

Correspondence Address:
Dr. Chandra Prakash Pal
Department of Orthopaedics, SN Medical College, Agra, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/joas.joas_28_17

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AIMS: The aim of this prospective study was to evaluate the effectiveness of intramedullary nailing and fixation by locking plates in displaced midclavicular fracture and to compare the functional outcome of intramedullary nailing versus plating. MATERIALS AND METHODS: This prospective comparative study was conducted at the tertiary center between October 2013 and September 2015 after being approved by the local Ethical Committee. Atotal of 66patients ranging between 18 and 60years of age were included in this study. They were randomized into two groups to be treated either by an intramedullary nail or by locking plate. Clinical and radiological assessments were performed at the 3rdweek and 6thweek and 3rd, 6th, and 12thmonth postoperatively. Outcomes and complications were compared to the 1-year follow-up in both groups. RESULTS: There was no significant difference found between two groups with regard to functional outcome after fracture union. Although lesser operative time, lower blood loss, less duration of hospital stay, easier implant removal, and better cosmetic appearance were noted in the nailing group. Constant shoulder scores were significantly higher in plating groups when compared to nailing group for the 1st12weeks of follow-up. However, this difference becomes insignificant between the two groups after 6months of follow-up. Infection and revision surgery rates were more in plating group, but this difference is not significant. CONCLUSIONS: Functional outcome and complications remain same in intramedullary nailing and plating group. However, intramedullary nailing is advantageous concerning faster healing, secure implant removal, and better cosmetically appeared scars.

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