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Clavicular injury is common in active and younger age group with male preponderance. With changing trends in treatment of displaced midshaft clavicle fractures (DMCF), plating remains the standard procedure for fixation. An attracting alternative method of fixation is the titanium elastic nailing (TEN). Purpose of this study was to analyze the outcome of surgically treated displaced midshaft clavicular fracture using Intra-medullary fixation by titanium elastic nail. Materials and method: 26 unilateral displaced midshaft clavicular fracture satisfying inclusion and exclusion criteria were operated between June 2014 to August 2016. Patients were followed up at every 4 weeks and assessed clinically and radiologically. Result: average time of union was 10.1 weeks. Average Constant-Murley score at end of 3 months was 91.3. No case of non-union was found in our study. Most common complication was symptomatic medial nail prominence. The final outcome was excellent in 21 (80.8%) cases, good in 5 (19.2%) cases. Conclusion: We recommend titanium elastic nail (TEN) for fixation of simple displaced midshaft clavicular fracture as it is a safe, minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and functional results.

A prospective study of operative management of simple midshaft clavicular fracture with titanium elastic nail (TEN)