Evidence map›Paper›PMID 40092230›Full record

ArticleJournal of orthopaedic case reports2025

Titanium Elastic Nail System for Middle One-Third Clavicle Fractures: Impact on Functional Recovery.

R Manoj Kumar, E Pradeep, Dinesh Kumar Sugananthan, K V Arun Kumar, Sheik Mohideen, V Y Ashwin

Abstract read
In one paragraph

Article in Journal of orthopaedic case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

R Manoj KumarDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
E PradeepDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
Dinesh Kumar SugananthanDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
K V Arun KumarDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
Sheik MohideenDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.
V Y AshwinDepartment of Orthopaedics and Traumatology, Chettinad Hospital and Research Institute, Kelambakkam, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Clavicle fractures are a common traumatic injury, often treated conservatively. However, displaced midshaft fractures present risks of complications such as delayed union and malunion. Surgical intervention, including open reduction and internal fixation and titanium elastic nailing system (TENS), offers better outcomes for these fractures. This study evaluates the effectiveness of TENS in treating midshaft clavicle fractures. Functional recovery was assessed using the Constant-Murley score, while radiological outcomes tracked fracture union. Aim and Objective: The study aimed to evaluate the effectiveness of TENS in treating midshaft clavicle fractures, assess functional recovery using the Constant-Murley score, and analyze associated complications. Materials and Methods: A descriptive cross-sectional study was conducted on 35 patients aged 16-60 with middle-third clavicle fractures, treated with TENS at Chettinad Hospital between August 2022 and April 2024. Functional outcomes were assessed using the Constant-Murley score, and radiographs were taken to evaluate fracture union. Results: Results showed favorable outcomes with TENS, including a mean union time of 4.55 months and a mean Constant score of 81.7 after 6 months. Complications were minimal, including infection, intraoperative blood loss, and hardware irritation. TENS demonstrated its value as a minimally invasive, effective option for displaced midshaft clavicle fractures, providing both cosmetic and early functional benefits. Conclusion: The study demonstrated that TENS is a safe and effective treatment for displaced midshaft clavicle fractures, offering faster recovery, improved functional outcomes, fewer complications, and better cosmetic results, fulfilling its objective of assessing TENS effectiveness.

Indexed as

Clavicle fracturefunctional outcomesmidshaft clavicle fractureminimally invasive surgerytitanium elastic nailing system

Identifiers

PMID40092230
PMCPMC11907110

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.