Comparative study on the therapeutic effect of percutaneous minimally invasive fixation with titanium elastic intramedul-lary nails and open reduction and internal fixation with plates in the treatment of clavicle shaft transverse or short oblique fractures
MA Xiang-yu
LIU Bing
YUAN Hong
YU Hai-long
HAN Tian-yu
Abstract：Objective To compare the clinical efficacy of percutaneous minimally invasive fixation with titanium elastic intramedullary nails and open reduction and internal fixation with plates in the treatment of transverse or short oblique clavicle shaft fractures.Methods A total of 174 cases of transverse or short oblique clavicle shaft fractures admitted to Northern Theater Command General Hospital from January 2015 to December 2020 were retrospectively selected,including 110 males and 64 females,aged(46.0±20.4)years,ranging from 18 to 78 years old.According to the different internal fixation methods,the patients were divided into two groups,including 78 cases in the elastic nail group and 96 cases in the plate group.The perioperative status,fracture healing,and postoperative functional results of the two groups were compared.Results Although the patients in the elastic nail group had more intraoperative fluoroscopy times than those in the plate group,the surgical time and incision length were shorter than those in the plate group,and the amount of bleeding was lower than that in the plate group,with statistical significance(P<0.05).The fracture healing time of the elastic nail group was shorter than that of the plate group,and the VAS(visual analogue scale)score was lower than that of the plate group,with statistical significance(P<0.05).There was no statistically significant difference in Constant Murley scores between the two groups(P>0.05).There was also no statistically significant difference in the incidence of complications between the elastic nail group(3/78)and the plate group(4/96,P>0.05).Conclusion Elastic nail intramedullary fixation for clavicle shaft fractures had the advantages of minimal surgical trauma,fast postoperative bone healing,and mild pain.
Keywords：Clavicle fractureInternal fixationTitanium elastic nailsPlateMinimally invasive intramedullary fixation
Publication Date：2025-09-25
Online Publishing Date：2025-11-06(First online date of this platform, not the publication date of the document)
Pages：5( 336-340 )