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Research Paper | Orthopedic | Volume 15 Issue 2, February 2026 | Pages: 971 - 974 | India
Functional Outcome of Intramedullary Tens and Plate Osteosynthesis for Mid Shaft Fractures of Clavicle
Abstract: Objectives: The present study aimed to compare intramedullary fixation using Titanium Elastic Nail System (TENS) with plate osteosynthesis in the management of displaced midshaft clavicle fractures. The objectives were to evaluate and compare demographic characteristics, fracture patterns, time to clinical and radiological union, complication rates, and functional outcomes using the Constant?Murley shoulder score. Materials and Methods: Over a period of 18 months, a total of 38 adult patients with displaced midshaft clavicle fractures classified as Robinson type 2B1 and 2B2 were included. Patients were randomly allocated into two equal groups: Group A (n=19) treated with open reduction and internal fixation using pre-contoured locking compression plates, and Group B (n=19) treated with intramedullary fixation using Titanium Elastic Nails. Functional outcomes were evaluated using the Constant?Murley score at 6 weeks, 3 months, and 6 months. Results: Closed reduction was achieved in a significantly higher proportion of cases in the TENS group, whereas all plating cases required open reduction. Clinical union occurred significantly earlier in the TENS group compared to the plating group, as did radiological union. Conclusion: Both plate osteosynthesis and intramedullary fixation using TENS are effective and safe methods for the management of displaced midshaft clavicle fractures. However, TENS offers advantages in terms of minimally invasive surgery, earlier clinical and radiological union, and superior functional outcomes at six months. Plate fixation remains valuable in cases requiring rigid stability, particularly in comminuted fractures.
Keywords: Clavicle fracture, Titanium elastic nail system, Plate osteosynthesis, Midshaft clavicle fracture, Constant?Murley score, Intramedullary fixation
How to Cite?: Dr. Arun K N, Dr. Alawaddin A, Dr. Prashanth Kumar M, "Functional Outcome of Intramedullary Tens and Plate Osteosynthesis for Mid Shaft Fractures of Clavicle", Volume 15 Issue 2, February 2026, International Journal of Science and Research (IJSR), Pages: 971-974, https://www.ijsr.net/getabstract.php?paperid=SR26215135334, DOI: https://dx.dx.doi.org/10.21275/SR26215135334