
Trauma
Elastic stable intramedullary nailing superior for simple mid-shaft clavicular fractures
Injury. 2011 Apr;42(4):324-9. doi: 10.1016/j.injury.2010.02.033. Epub 2010 Apr 14.120 patients with displaced clavicular fractures were randomized to be treated with either a surgical procedure or non-operative treatment to determine the safety and eligibility for elastic stable intramedullary nailing (ESIN). After a 2 year follow up, ESIN treatment had faster osseous healing and better clavicular restoration for simple fractures. It also had fewer incidences of delayed and non unions, but more incidences on telescoping in complex fractures with severe post-traumatic shortening.
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