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

Not Applicable

• Conditions: Clavicular Fracture
• Interventions: Procedure: Percutaneous intramedullary fixation of displaced midshaft clavicular fractures .

• Registration Number: NCT03462901
• Lead Sponsor: Assiut University

Brief Summary

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

Detailed 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.

Study Timeline

• Study Start: 2016-10-30
• Study First Submitted: 2017-12-08
• Status Verified: 2018-03
• Study First Submitted QC: 2018-03-09
• Last Update Submitted: 2018-03-09
• Study First Posted: 2018-03-13
• Last Update Posted: 2018-03-13
• Primary Completion: 2018-10-20
• Study Completion: 2019-05-21

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 15

Inclusion Criteria

Not provided

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Exclusion Criteria

Not provided

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Elastic rod fixation	Percutaneous intramedullary fixation of displaced midshaft clavicular fractures .	Percutaneous intramedullary fixation of displaced midshaft clavicular fractures

Primary Outcome Measures

Name	Time	Method
Union rate	Six months	We will compares rat of union between fixation of clavicular fracture by intramedullary elastic rod and other methods of fixation