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Fixation of Displaced Midshaft Clavicular Fractures in Adults by Intramedullary Elastic Rod

A

Assiut University

Status

Unknown

Conditions

Clavicular Fracture

Treatments

Procedure: Percutaneous intramedullary fixation of displaced midshaft clavicular fractures .

Study type

Interventional

Funder types

Other

Identifiers

NCT03462901
17100365

Details and patient eligibility

About

Clavicular fracture, constitutes 2.6% e 5% of all adult fractures, most are located in the midshaft clavicle with different degrees of displacement. Conservative methods are commonly used for midshaft clavicular fractures treatment, but with various unsatisfactory complications such as nonunion, malunion and shoulders asymmetry. The rate of malunion after conservative treatment for the midshaft clavicular fractures reached 15%, and 30% patients were unsatisfied. Recently, early midshaft clavicular fractures could greatly reduce the incidence rate of nonunion and malunion. Open reduction and plate-screw fixation was considered as the gold standard with the advantages of firm fixation and earlier postoperative mobilization, but also with disadvantages of larger incision and more organizations being exposed, presenting with many postoperative complications. Intramedullary fixation treatment for mid-clavicular fractures has been favored due to its strengths including small incision, less periosteal striping, dispersion of stress and simple to operate However, early intra-medullary implants, such as Hagie pins and Kirschner wires, have been gradually replaced due to insufficient stability. In addition, various nails such as elastic stable intramedullar

Full description

Fixation of displaced midshaft clavicular fractures with minimally invasive technic as it helps for early mobilization to the shoulder and more safe, more cosmetically in comparison to other options.

Enrollment

15 estimated patients

Sex

All

Ages

16 to 55 years old

Volunteers

No Healthy Volunteers

Inclusion and exclusion criteria

Adults pt aged (16-55 ) how is active presented with mid shaft clavicular fracture, displacement with no comorbidity and excluding pt with polytrauma aged above 55y or below 16y ,pt with fracture lateral 3rd and pt with comorbidity

Trial design

Primary purpose

Treatment

Allocation

N/A

Interventional model

Single Group Assignment

Masking

None (Open label)

15 participants in 1 patient group

Elastic rod fixation
Experimental group
Description:
Percutaneous intramedullary fixation of displaced midshaft clavicular fractures
Treatment:
Procedure: Percutaneous intramedullary fixation of displaced midshaft clavicular fractures .

Trial contacts and locations

0

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Data sourced from clinicaltrials.gov

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