Is elastic stable intramedullary nailing best for mid-shaft clavicular fractures without comminution : results in 60 patients?
We recommend ESIN for all simple displaced mid-shaft clavicular fractures in order to minimise the rate of delayed union, non-union and symptomatic mal-union. We also recommend ESIN in comminuted fractures with moderate (< or = 7%) post-traumatic shortening, as they will heal with moderate shortening. In comminuted fractures with severe shortening, however, we recommend plate osteosynthesis in order to provide for stability, clavicular length and endosteal blood supply.
Subaxial laminoplasty maintained the alignment. But if laminoplasty included the C2 lamina, the alignment worsened.