Comparison between locked intramedullary nailing and anatomical locking plating in the treatment of displaced clavicular midshaft fractures

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dc.contributor.authorZehir, Sinan
dc.contributor.authorÇalbıyık, Murat
dc.contributor.authorŞahin, Ercan
dc.contributor.authorİpek, Deniz
dc.date.accessioned2019-05-13T09:08:19Z
dc.date.available2019-05-13T09:08:19Z
dc.date.issued2016
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractObjective: The aim of this study was to compare the results of expandable flexible locked intramedullary nailing and anatomical locking plating in clavicular midshaft fractures. Methods: Thirty-three patients (21 male, 12 female) who had displaced fractures and at least 2-cm shortening fixed with expandable flexible locked intramedullary nailing and 38 patients (24 male, 14 female) who underwent anatomical locking plating were recruited. Duration of surgery, incision size, duration of hospital stay, union time, and early and late complications were compared between the groups. Functional results were compared with Constant scoring system. Results: Mean duration of surgery was 32.4±9.1 minutes (range: 20-42 minutes) in the nailing group and 54.1±11.9 minutes (range: 42-70 minutes) in the plating group. The incision was 4.1±0.9 cm (range: 3-5 cm) in the nailing group and 9.5±1.7 cm (range: 7-12 cm) in the plating group. Mean union time was 14.8 weeks (range: 10-24 weeks) in the nailing group and 21.3 weeks (range: 12-33 weeks) in the plating group. Mean duration of hospital stay was 3.6±1.1 days (range: 2-4 days) in the plating group, whereas it was 2.3±0.8 days (range: 1-3 days) in the nailing group. In the plating group, an average of 2.7-mm (range: 0-7 mm) shortening was determined in the clavicles that underwent surgery as compared to the intact clavicles, whereas shortening was 2.3 mm (range: 0-6 mm) in the nailing group. Conclusion: Expandable flexible locked intramedullary nailing can provide more successful outcomes than plating in displaced clavicular midshaft fractures, due to advantages such as shorter union time, lower complication rate, and better cosmetic outcomes. © 2016 Turkish Association of Orthopaedics and Traumatology.
dc.identifier.citationZehir, S., Çalbıyık, M., Şahin, E., İpek, D. (2016). Comparison between locked intramedullary nailing and anatomical locking plating in the treatment of displaced clavicular midshaft fractures. Acta Orthopaedica et Traumatologica Turcica, 50(3), 291-297.
dc.identifier.doi10.3944/AOTT.2015.15.0220
dc.identifier.endpage297en_US
dc.identifier.issn1017-995X
dc.identifier.issue3en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage291en_US
dc.identifier.urihttps://doi.org/10.3944/AOTT.2015.15.0220
dc.identifier.urihttps://hdl.handle.net/11491/1976
dc.identifier.volume50en_US
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherEkin Medical Publishing
dc.relation.ispartofActa Orthopaedica et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectClavicleen_US
dc.subjectMidshaft Fracturesen_US
dc.subjectNailingen_US
dc.subjectPlatingen_US
dc.titleComparison between locked intramedullary nailing and anatomical locking plating in the treatment of displaced clavicular midshaft fractures
dc.typeArticle

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