A COMPARATIVE STUDY OF TENS NAILING & PLATING IN FRACTURE SHAFT CLAVICLE

Abstract

Background: Clavicle fractures are common, with midshaft fractures comprising a significant portion. Treatment options include both conservative measures and surgical interventions, with advancements in surgical techniques improving outcomes. This study aims to compare titanium elastic nails (TENs) with Locking Compression Plate (LCP) fixation in the management of displaced midshaft clavicle fractures.
Methods: A cross-sectional study was conducted on 60 patients with displaced midshaft clavicle fractures. Patients were divided into two groups: TENS and LCP. Demographic data, mode of injury, associated injuries, type of fracture, time to surgery, duration of surgery, duration of hospital stay, blood loss, complications, and functional outcomes were assessed.
Results: The majority of patients in both groups were males with a mean age of approximately 35 years. Road traffic accidents were the most common cause of injury in both groups. TENS group had shorter operative time and less blood loss compared to the LCP group. Both groups achieved union within a similar timeframe, with comparable functional outcomes as assessed by DASH and
Constant Murley scores. Complications varied between the groups, with TENS group experiencing hardware migration and non-union, while LCP group had cases of infection, malunion, and skin irritation.
Conclusion: Both TENS and LCP fixation methods provide effective treatment for displaced midshaft clavicle fractures, with similar functional outcomes. TENS offers advantages such as minimal invasiveness and reduced blood loss, while LCP provides increased stability but may result in stress shielding. Individual patient factors and preferences should guide treatment selection, with
consideration for desired return to physical activity and cosmetic outcomes.