A Prospective Study to Assess Radiological and Functional Outcomes in the Surgical Management of Displaced Middle Third Clavicle Fractures Fixed with TENS Titanium Elastic Intra-Medullary Nail
Original Article | Vol 12 | Issue 1 | January-June 2026 | page: 36-43 | Sanjay Chhawra, Rahul Aggarwal, Raman Jain, Amit Gupta, Amit Nagar, Rishav Anand, Rajat Mudgal, Hritik Swarnkar
DOI: https://doi.org/10.13107/ti.2026.v12.i01.86 Submitted: 21/02/2026; Reviewed: 29/03/2026; Accepted: 02/04/2026; Published: 10/04/2026Authors: Sanjay Chhawra [1], Rahul Aggarwal [1], Raman Jain [1], Amit Gupta [1], Amit Nagar [1], Rishav Anand [1], Rajat Mudgal [1], Hritik Swarnkar [1]
[1] Department of Orthopaedics, Jaipur Golden Hospital, Sector 3 Rohini, New Delhi, India. Address of Correspondence Dr. Sanjay Chhawra, Department of Orthopaedics, Jaipur Golden Hospital, Sector 3 Rohini, New Delhi, India. E-mail: sanjaychhawra@yahoo.comAbstract
Introduction: Clavicle fractures are common injuries, accounting for 5%-10% of total fractures. The middle third of the clavicle is fractured in 69% of cases, the distal third is fractured in 28% of cases, and the proximal third is fractured in 3% of cases. Early displaced midshaft clavicle fractures were treated conservatively after studies it has being defined that there is nonunion with decreased functional outcome. Surgery is indicated in the event of substantial fracture displacement and accompanying neurovascular damage. Plate osteosynthesis is the conventional approach for treating fractures requiring internal fixation with various complications. Intramedullary fixation using the titanium elastic nailing system (TENS) is becoming a more preferred method for internal fixation of displaced mid-clavicular fractures with minimal incision and better functional outcomes. Methodology: A prospective study was undertaken with a sample size of 30 patients over two years, with all cases followed up for 12 months. A complete clinical examination of the patient was conducted to evaluate associated injury radiological assessment of the intramedullary diameter of the clavicle was also done. Following approval and clearance from the institutional ethics committee, patients who met the inclusion criteria were enrolled in the study after providing informed consent. The functional outcomes of the study included ASES, CONSTANT, and VAS. Result: The mean operation time was 40 min, 3 days after surgery the VAS score was 2-3, Union in weeks mean was 10 weeks and functional score after 12 months ASES Score 3 cases of 51-70 22 cases of 71-90 5 cases of 91-100 and at last CONSTANT Score- 12th month 1 cases 56-70 15 cases of 71-85 14 cases of 86-100 Conclusion: TENS is a safe, stable, minimally invasive surgical technique in indicated cases with reduced duration of the surgery, decrease the surgical site morbidity, early mobilization, faster return to daily activities, excellent cosmetic results with a lower complication rate. Keywords: TENS, Clavicle, UnionReferences
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Journal of Clinical Orthopaedics and Trauma Volume 7, Supplement 2, October–December 2016, Pages 161-165 https://doi.org/10.1016/j.jcot.2016.08.005Get rights and content 24. Partha Saha Plate versus titanium elastic nail in treatment of displaced midshaft clavicle fractures A comparative study Indian Journal of Orthopaedics | November 2014 | Vol. 48 | Issue 6 DOI: 10.4103/0019-5413.144227| How to Cite this article: Chhawra S, Aggarwal R, Jain R, Gupta A, Nagar N, Anand R, Mudgal R, Swarnkar H | A Prospective Study to Assess Radiological and Functional Outcomes in the Surgical Management of Displaced Middle Third Clavicle Fractures Fixed with TENS Titanium Elastic Intra-Medullary Nail | January-June 2026; 12(1): 36-43 | https://doi.org/10.13107/ti.2026.v12.i01.86 |
