Document Type : Original Article
Authors
1
Professor of Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Assistant Professor of Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MSc, Radiodiagnosis, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
https://doi.org/10.21608/aimj.2025.446665
Abstract
Background: In the past, nonoperative management was employed to address clavicle fractures; however, recent evidence-based updates from high-quality randomized studies are starting to alter this approach. A minimally invasive titanium elastic nailing system (TENS) Establishes a 3-point stabilization in the curved clavicle.
Objectives: To evaluate the radiological and clinical findings of the surgical fixation of midclavicular fractures utilizing the TENS.
Patients and Methods: The prospective case series involved thirty people who presented to Al-Azhar University Hospitals in Cairo with dislocated middle 3rd clavicle fracture. Individuals were monitored for six months after receiving percutaneous elastic intramedullary nails.
Results: The final Constant score was 89.13 ± 13.91. Excellent findings in 20 cases (67%), good in 6, middling in 2, and poor in 2. Union duration ranged from 8-12 weeks, with a mean of 10.0 ± 1.33 weeks, except for one case of hypertrophic non-union. The final score was significantly associated with patients' age and medical problems. Patients had one infection (3.3%), two medial skin irritations (6.66%), and one hypertrophic non-union (3.3%).
Conclusion: TENS is a method that relies on imaging and is most suitable for young patients without medical conditions who have acute, uncomplicated clavicle fractures in the middle 3rdof the bone.
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