The Present Study Examined the Functional and Radiological Results of Mid-Shaft Clavicle Fracture Using a Titanium Elastic Screw Nail: A Prospective Study

Abstract

Introduction: Upper extremity fractures, or clavicle fractures, make for 35 to 44% of shoulder girdle fractures and 2 to 5% of adult fractures. They’re one of the most common broken bones in emergency rooms. This study assessed the functional and radiological outcomes of treating a mid-shaft clavicle fracture using a titanium elastic screw nail. Materials and Methods: From February 2021 to July 2022, all patients with middle one-third clavicle fractures were studied at SRMS Institute of Medical Sciences, Bareilly. Written informed permission and institutional ethical committee approval were required to enroll patients. Results: About 44.44% had surgery after 2 to 3 days, 33.33% after 4 to 5 days, and 22.22% after 6 to 8 days. In 83.33% of patients, radiation exposure was 21 to 30 shots, 10 to 20 in 5.56%, and 31 to 40 in 11.11%. Constant score improved significantly from baseline at 2, 6, 12, and 24 weeks (p < 0.05). In 50% (9) of the fracture joined at 24 weeks, 44.40% (8) at 12 weeks, and 6.60% (1) non-union.