Intramedullary nailing of clavicular midshaft fractures with the titanium elastic nail: problems and complications

The American Journal of Sports Medicine
Arno FriggChristian Ryf

Abstract

Intramedullary nailing of clavicular midshaft fractures using the titanium elastic nail has been described as a technically easy, minimally invasive operation with few complications and an early return to competitive sports. The results reported thus far have been positive. The titanium elastic nail is associated with multiple intraoperative and postoperative problems. Case series; Level of evidence, 4. From April 2004 to March 2007, 34 patients at our institution were treated with intramedullary nailing. A standard titanium elastic nail was used in 19 cases and a titanium elastic nail with an end cap in 15 cases. The titanium elastic nail was inserted and advanced under fluoroscopic control. A short incision at the fracture site was made for open reduction if needed. Postoperatively, free range of motion was allowed. In 62% of patients, open reduction was necessary independent of fracture type, flattening of the titanium elastic nail, or transverse fragments. Operating time was 44 minutes (range, 10-105 minutes) and fluoroscopy time 9 minutes (range, 2-25 minutes). In 70% of patients, problems or complications occurred (7 medial perforations, 7 lateral penetrations, 1 titanium elastic nail breakage, 1 titanium elastic nail dis...Continue Reading

References

Dec 1, 1991·Archives of Emergency Medicine·P Naidoo
Mar 10, 1969·JAMA : the Journal of the American Medical Association·J S McCaughan, P R Miller
Mar 10, 1969·JAMA : the Journal of the American Medical Association·M Altchek
Jul 1, 1997·The Journal of Bone and Joint Surgery. British Volume·J M HillL A Crosby
Dec 9, 1997·The Journal of Trauma·O BöstmanH Pihlajamäki
Apr 27, 2002·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·A KlonzH Reilmann
Mar 5, 2003·Clinical Orthopaedics and Related Research·Axel JubelKlaus E Rehm
Dec 11, 2003·British Journal of Sports Medicine·A JubelK E Rehm
Aug 2, 2005·Journal of Orthopaedic Trauma·Michael ZlowodzkiUNKNOWN Evidence-Based Orthopaedic Trauma Working Group
Nov 1, 1994·Journal of Shoulder and Elbow Surgery·R R RichardsJ D Zuckerman

❮ Previous
Next ❯

Citations

Oct 20, 2012·Archives of Orthopaedic and Trauma Surgery·Chih-Lung WuKo-Hsiu Lu
Jan 29, 2013·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Frans-Jasper G WijdicksOlivier A J Van der Meijden
Jan 11, 2011·Journal of Athletic Training·Sarah B Rabe, Gretchen D Oliver
Dec 4, 2012·International Journal of Shoulder Surgery·Anish P KadakiaBalachandran Venkateswaran
Oct 23, 2014·Trauma Monthly·Hassan Keihan ShokouhMahsa Keihan Shokouh
Feb 16, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Chang-peng XuBin Yu
Feb 28, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Luke D JonesGregoris Kambouroglou
Sep 13, 2015·The Kaohsiung Journal of Medical Sciences·Ying-Chun WangCheng-Chang Lu
Jul 5, 2011·Journal of Shoulder and Elbow Surgery·Conor P KlewenoJon J P Warner
Nov 26, 2010·Journal of Shoulder and Elbow Surgery·I-Ming JouWei-Ren Su
Jun 1, 2014·Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology·Christopher Edward Hill
Dec 25, 2015·Journal of Shoulder and Elbow Surgery·Micah NaimarkBrian T Feeley
Aug 3, 2012·The Journal of the American Academy of Orthopaedic Surgeons·Nirav K PandyaHarish S Hosalkar
Oct 12, 2015·Orthopaedics & Traumatology, Surgery & Research : OTSR·H-J ChungD-S Kim
Apr 7, 2010·Acta Orthopaedica·Robert J HillenC Michael Robinson
May 25, 2016·Orthopedics·Jeremy M BurnhamSrinath Kamineni
May 27, 2016·The Journal of the American Academy of Orthopaedic Surgeons·Josef K EichingerJason A Grassbaugh
Aug 16, 2016·Journal of Shoulder and Elbow Surgery·Olivier A van der MeijdenEgbert J M M Verleisdonk
Oct 21, 2016·Acta orthopaedica et traumatologica turcica·Beigang Fu
Jan 18, 2017·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Aline S MacedoBruno W Minto
Dec 11, 2014·The American Journal of Sports Medicine·Maximiliano RanallettaGaston Maignon
Jul 9, 2010·The American Journal of Sports Medicine·Robert J MorganPatrick M Connor
Jan 26, 2018·Der Unfallchirurg·Alexander EickhoffChristian Ehrnthaller
Mar 17, 2011·Clinical Orthopaedics and Related Research·Arno FriggLisa Reissner
Oct 19, 2011·Archives of Orthopaedic and Trauma Surgery·Hoon-Sang SohnByung-Yub Kim
Aug 22, 2017·Strategies in Trauma and Limb Reconstruction·Valentino CoppaAntonio Gigante
Sep 10, 2020·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Ronny LangenhanAxel Probst
May 16, 2012·Journal of Pediatric Orthopedics·Benjamin M FryeGeorge K Bal
Jul 14, 2017·Revista Brasileira De Ortopedia·Rajesh GovindasamyFawas Thonikadavath

❮ Previous
Next ❯

Software Mentioned

STATISTICA

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.