Miniinvasive intramedullary osteosynthesis of clavicular fractures in middle one third with shifted fragments using elastic titanic compressing rod

Abstract

Objective. To estimate the results of operative treatment of clavicular fractures in middle one third with fragments shifted, using the closed method with application of intramedullary elastic titanic compressing rod. Materials and methods. In the Department of Orthopedics and Traumatology of Kyiv Municipal Clinical Hospital No. 6 («Medgorodok») in 38 patients ageing 18 - 67 yrs with the closed clavicular fractures in middle one third with shifted fragments the closed intramedullary osteosynthesis, using elastic titanic compressing rod, was performed. Methods of the patients examination, indication s for operative treatment, its technique, late results of the operation were studied. Results. While estimating late results in 12 mo postoperatively in accordance to Constant Score (estimation of the brachial joint function) there were (97.1 ± 3.5) points of 100 possible points noted at average. In all the patients the movements in brachial joint were free and painless, they served themselves completely while doing solemn round of industry, coming back to their ordinary profession activity and sport. Conclusion. Intramedullary osteosynthesis of clavicular fractures in middle one third, using elastic titanic compressing rod as method of operative treatment, may guarantee satisfactory late results.

Keywords

• clavicular fractures; mechanism of trauma; intramedullar osteosynthesis; late results.