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

쇄골 간부 불유합의 자가골 이식술 및 금속판 내고정술

  • Ko Sang-Hun (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Cho Sung-Do (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Park Moon-Soo (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Woo Jong-Ken (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Lee Chae-Chil (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Jeong Ji-Young (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine) ;
  • Jung Kwang-Hwan (Department of Orthopedic Surgery, Ulsan University Hospital University of Ulsan College of Medicine)
  • 고상훈 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 조성도 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 박문수 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 우종근 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 이채칠 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 정지영 (울산대학교 의과대학 울산대학교병원 정형외과학교실) ;
  • 정지영 (울산대학교 의과대학 울산대학교병원 정형외과학교실)
  • Published : 2005.06.01

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.

Keywords

References

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Cited by

  1. Infected Nonunion of Clavicle Shaft after Operation: A Case Report vol.28, pp.1, 2015, https://doi.org/10.12671/jkfs.2015.28.1.77
  2. Intercalary Tricortical Iliac Bone Graft in the Surgical Treatment of Nonunion of Midshaft Clavicular Fractures vol.15, pp.1, 2012, https://doi.org/10.5397/CiSE.2012.15.1.32