Journal of orthopaedic trauma
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Clavicular fractures account for 2.6% of all fractures, and more than 80% involve the middle third of the clavicle. Plate fixation has been the most common method of fixation reported but has been associated with complications such as infection, wound breakdown, nonunion, implant failures, poor cosmetic outcome, and local skin numbness. We report on a series of cases receiving minimally invasive insertion of titanium elastic nails (TEN) to fix the displaced midclavicular fractures. ⋯ Minimally invasive fixation with TEN is a safe method and can be performed with minor complications. This method of fixation of displaced midclaviclular fractures should result in a good cosmetic appearance and satisfactory stabilization of displaced midclavicular fractures without comminution.
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The purpose of this study was to compare the biomechanical behavior of using two versus three locking screws per bone segment in a cadaveric humerus fracture gap model. ⋯ The addition of a third screw in the locked plate construct did not add to the mechanical stability in axial loading, bending, or torsion. In testing to failure, the addition of a third screw resulted in lower load to failure.