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Clavicle fractures account for 2-4% of all fractures occurring in the adults and 69-82% of the clavicular fractures occur in the middle shaft. Out of the operative management techniques, plate fixation and intramedullary nailing with Titanium Elastic Nail (TEN) are commonly used nowadays for internal fixation of displaced diaphyseal clavicle fractures. Objectives: 1. To analyze the differences in functional outcome of each of the two surgical procedures namely plate fixation and TENS Materials and Methods: This Prospective, Non-randomized, two arm, concurrent parallel, experimental study was conducted among 50 patients with type 2B and 2B1 displaced diaphyseal clavicle fracture who underwent either of the two types of surgical fixation of the clavicle fractures which include Group A: compression locking plate fixation and Group B: Intramedullary nailing (TENS). A detailed history including socio-demographic details and medical events prior to surgery was obtained and recorded in a proforma. Follow-up details and operative notes were recorded later during the course of stay in the hospital. the functional outcomes were assessed and compared using modified Murley score and DASH score. Results: The mean age of the study participants was 32.9 ± 12.8 years. Majority of the study participants were males (92%) compared to a very small proportion of females (8%). Majority of patients with type 2B fractures

international journal of orthopaedics traumatology and surgical sciences

A Comparative study between Locking Compression plating versus Intra medullary nailing fixation for the management of Displaced Diaphyseal Clavicle Fracture