title: [ Intramedullary nailing (ESIN) in clavicular pseudoarthroses. Results of a prospective clinical trial].
abstract: This prospective clinical trial was performed to assess healing, clinical outcome and complications after intramedullary nailing of midshaft clavicular nonunions. Over 2.5 years, 14 patients were included. Exclusion criteria were pathological fractures, bony defects, previous operative therapy, atrophic and infection pseudarthrosis and the patient's age: <18 years or >70 years. Results were evaluated after 3, 6, 12 and 18 months. Beginning 3 months after the operation, pain (VAS), subjective satisfaction, Constant score and DASH score were significantly better than preoperatively during the follow-up period (p<0.001). There were no infections, no implant displacements or refractures.Intramedullary fixation of midshaft clavicular nonunions with an elastic titanium nail is a safe, minimally invasive surgical technique, producing excellent functional and cosmetic results without additional bone grafting.
authors.affiliation: Klinik für Unfall-, Hand- und Wiederherstellungschirurgie der Universität zu Köln. axeljubel@t-online.de
authors.forename: A
authors.initials: A
authors.lastname: Jubel
authors.forename: J
authors.initials: J
authors.lastname: Andermahr
authors.forename: G
authors.initials: G
authors.lastname: Weisshaar
authors.forename: G
authors.initials: G
authors.lastname: Schiffer
authors.forename: A
authors.initials: A
authors.lastname: Prokop
authors.forename: K E
authors.initials: KE
authors.lastname: Rehm
mesh_terms: D000328:Adult; D001858:Bone Nails; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005594:Fracture Fixation, Intramedullary / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods*; D017102:Fracture Healing; D006801:Humans; D008297:Male; D008875:Middle Aged; D011542:Pseudarthrosis / Q000000981:diagnostic imaging / Q000601:surgery*; D011859:Radiography; D012784:Shoulder Fractures / Q000000981:diagnostic imaging / Q000601:surgery*; D016896:Treatment Outcome