Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle
Boktor, M., Eissawy, O., Khalil, S. (2021). Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle. EKB Journal Management System, 38(special issue (Orthopedic Surgery)), 60-65.
Mina Samy Boktor; Ossama Eissawy; Sherin Khalil. "Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle". EKB Journal Management System, 38, special issue (Orthopedic Surgery), 2021, 60-65.
Boktor, M., Eissawy, O., Khalil, S. (2021). 'Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle', EKB Journal Management System, 38(special issue (Orthopedic Surgery)), pp. 60-65.
Boktor, M., Eissawy, O., Khalil, S. Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle. EKB Journal Management System, 2021; 38(special issue (Orthopedic Surgery)): 60-65.

Elastic stable intra-medullary nailing (ESIN) in management of fracture clavicle

Benha Medical Journal
Article 6, Volume 38, special issue (Orthopedic Surgery), September 2021, Page 60-65  XML PDF (502.87 K)
Document Type: Original Article
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Authors
Mina Samy Boktor email 1; Ossama Eissawy2; Sherin Khalil2
1Orthopedic, Medicine, Benha University, Benha Egypt
2Orthopedic, Medicine, Benha University, Benha, Egypt
Abstract
Back ground:
Clavicle fractures accounting for 2.6 to 10 % of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft clavicular fractures.
Materials and Methods:
A total of 20 patients, which met inclusion criteria, were reviewed retrospectively. There were 14 males and 6 females. The mean age was 37.5 years. 60% of the patients were polytaumatized. The patients were assessed for clinical/radiological union and by Oxford Shoulder and QuickDASH scores. 40% patients required open reduction.
Results:
90% union was achieved at average of 11.3 weeks. The average follow-up was 6 months. The average Oxford Shoulder and QuickDASH scores were 43.5.6 and 8.5, respectively. No cases of nail migration were reported.
Conclusion:
In our hands, ESIN is safe and minimally invasive with good patient satisfaction, cosmetic appearance, and early return to daily activities. considering cosmesis the ESIN has much more superior outcome when compared to fixation by plate and screws.
Keywords
: Clavicle fracture; elastic stable intramedullary nailing; midshaft fractures
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