A Case Series on Tens Nailing in Fracture Clavicle

Abstract

Introduction: One of the most frequently fractured bones, the clavicle accounts for 2.6–4% of all fractures. 73% of these are displaced midshaft clavicular fractures, and 69 to 82% of these occur in the middle portion of the clavicle. For displaced clavicle fractures, including one with NV compromise and skin tenting, surgery has been recommended. Peroni published the first description of intramedullary treatment for clavicular fractures in 1950. The adoption of a TENS nail has benefits such as less soft tissue damage, a shorter surgical procedure, better cosmetic outcomes, load sharing fixation with relative stability, and abundant callus production. Material and Methods: A prospective study of 20 patients who had TENS nailing treatment after presenting to our institute between January 2022 and June 2023 with displaced midshaft clavicle fractures was conducted. Constant Murley and DASH scores were completed for each patient at 6 and 12 weeks. Results: All the patients achieved clinical and radiological union at a mean of 7.6 ± 2.89 weeks and 18.8 ± 5.87 weeks respectively.85% of the patient had excellent Constant Murley score on follow up. Based on the assessment parameters (Disability of Arm Shoulder and Hand) Score, the mean DASH score was 24.90 ± 3.21and16.45 ± 3.33at the end of 6 and 12 weeks respectively. Conclusion: Midshaft clavicle fractures can be safely fixed intramedullarily utilising TENS, and in our experience, this procedure yields both good functional and aesthetic benefits. Keywords: Clavicle, Intramedullary, Tens, Fracture