Internal Fixation with Plate and Bone Graft of Mid-shaft Clavicle Nonunion

doi:2005.8.1.19

Clin Shoulder Elb > Volume 8(1); 2005 > Article

Journal of the Korean Shoulder and Elbow Society 2005;8(1):19-22.
DOI: https://doi.org/10.5397/CiSE.2005.8.1.019 Published online June 30, 2005.

Internal Fixation with Plate and Bone Graft of Mid-shaft Clavicle Nonunion

Sang-Hun Ko, M.D., Sung-Do Cho, M.D., Moon-Soo Park,M.D., Kwang-Hwan Jung,M.D., Jong-Ken Woo,M.D., Chae-Chil Lee,M.D., Ji-Young Jeong, M.D.

Department of Orthopedic Surgery
Ulsan University Hospital University of Ulsan College of Medicine, Ulsan, Korea

쇄골 간부 불유합의 자가골 이식술 및 금속판 내고정술

고상훈, 조성도, 박문수, 정광환, 우종근, 이채칠, 정지영

울산대학교 의과대학 울산대학교병원 정형외과학교실

Abstract

Purpose
The causes of twelve cases of the mid-shaft clavicle nonunion and the results of internal fixation with plate and bone graft were investigated. Materials and method: From August 1997 to March 2003, twelve cases of the mid-shaft clavicle nonunion were operated with internal fixation with plate and bone graft. The duration of follow-up was average 13 months. Results: The causes of the mid-shaft clavicle nonunion included severe associated injury, severe initial displacement of the fracture fragments and insecure fixation. All cases were operated with internal fixation with plate and bone graft. According to the factor for evaluations of results, using a rating scale of excellent (no apparent factors), good (one factor), fair (two factors), poor (more than three factors), the results showed 10 excellent, 1 good and 1 poor. Screw loosening was developed in only one case . Conclusion: The internal fixation with plate and bone graft of the mid-shaft clavicle nonunion after failed conservative treatment achieved excellent results and seemed to be the procedure of choice for mid-shaft clavicle nonunion.

Key Words: Clavicle, Nonunion, Bone graft, Internal fixation with plate