Surgical Treatment for Non-Union of the Mid-Shaft Clavicle Using a Reconstruction Plate: Scapular Malposition Is Related to Poor Results
Resource
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED v.40 n.3 pp. 231-235
Journal
Injury
Pages
231-235
Date Issued
2009
Date
2009
Author(s)
Abstract
A retrospective study was performed to evaluate the use of an AO reconstruction plate in open reduction and internal fixation for non-union of the mid-shaft clavicle, examining the relationship between the position of the scapula and final functional results and whether perioperative variables such as clavicular reconstruction ratio and period of non- union influence the position of the scapula. From January 1998 to January 2005, data on 21 people with symptomatic non -union of the mid- shaft clavicle were collected; 17 non- unions were atrophic and 4 were hypertrophic. Initially, treatment was conservative with a figure-of-eight bandage in 19 cases, and cerclage wire fixation in 2 cases. The follow - up period was 65.7 (24-108) months. Outcome analyses included standard clinical follow-up, plain radiography. the Constant-Murley scoring and subjective assessment. All non- unions united well in 13.6 (11-27) weeks. All patients were satisfied with their surgical results. Greater age and longer period of non-union resulted in a larger amount of scapular malposition, which related to poor functional results.
Subjects
Clavicle fracture
Non-union
Reconstruction plate
Scapula
SDGs