S-shaped titanium endomedullary nail reduces telescoping of comminuted midshaft clavicular fractures
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ORIGINAL ARTICLE
S‑shaped titanium endomedullary nail reduces telescoping of comminuted midshaft clavicular fractures Ronny Langenhan1 · Stefanie Bushuven1 · Niklas Reimers1,2 · Axel Probst1 Received: 5 June 2020 / Accepted: 28 August 2020 © Springer-Verlag France SAS, part of Springer Nature 2020
Abstract Background The surgical treatment of displaced midshaft clavicular fractures (DMCF) is clinically relevant and a much discussed topic. The axial stability of DMCF after intramedullary nailing (IMN) is still a matter of debate. Objective Our objective was to present a modification of IMN of DMCF with S-shaped titanium endomedullary nail (TEN) and determine fracture telescoping from day one after surgery to the time of fracture healing. Method In a prospective analytic cohort study over a 6-year period (2012–2017) at a Level II trauma care centre, a total of 128 patients with DMCF were included and classified according to the AO/OTA classification system. Group I was AO/OTA type 15.2A/15.2B (N = 68) and group II was AO/OTA type 15.2C (N = 60). After a modified open stabilization technique of each DMCF with IMN (S-shaped TEN), the dynamics of radiological assessed telescoping until union and rate of surgical adverse events were measured. Significance was assumed for p
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