ArticleBMC musculoskeletal disorders2017
Mid-term outcome following revision surgery of clavicular non- and malunion using anatomic locking compression plate and iliac crest bone graft.
Article in BMC musculoskeletal disorders, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 16 citations in OpenAlex.
- Does implant removal of superior clavicle plate osteosynthesis affect the functional outcome: a prospective trial.Archives of orthopaedic and trauma surgery · 2022Trial
- Two-stage surgical management of septic pseudoarthrosis of the clavicle using a tricortical iliac crest autograft: a report of two cases.JSES reviews, reports, and techniques · 2025Article
- Screw Stress Distribution in a Clavicle Fracture with Plate Fixation: A Finite Element Analysis.Bioengineering (Basel, Switzerland) · 2023Article
- Large segmental defects in midshaft clavicle nonunion treated with autologous tricortical iliac crest bone graft.Shoulder & elbow · 2023Article
- Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves.Journal of clinical medicine · 2022Article
- Comparable results using 2.0-mm vs. 3.5-mm screw augmentation in midshaft clavicle fractures: a 10-year experience.European journal of medical research · 2021Article
- Combined iliac crest graft and short-scar pectoralis major flap for clavicular non-union reconstruction.Case reports in plastic surgery & hand surgery · 2021Article
- [Clavicular fractures : Diagnostics, management and treatment].Der Unfallchirurg · 2018Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTreatment of clavicular non- and malunion is still challenging. Current surgical procedures often result in frustrating functional outcome along with high-grade subjective impairment and increased rates of revision surgery. However, the combination of biological augmentation with vital bone graft and a biomechanically sufficient fixation system seems to be a promising concept of treatment.
methodsIn this retrospective study, 14 patients with a mean age of 44 years (26-67 years) suffering from non-union (n = 11) and/or malunion (n = 3) of the clavicle were enrolled. All patients were surgically treated using an anatomical precontoured locking compression plate (LCP) and autologous iliac crest bone graft. Functional outcome was assessed using the age- and sex-specific relative Constant Score.
resultsMean follow-up was 27 months (range 12-44 months). The relative Constant Score significantly improved from preoperative 61 ± 8 (43-72) to 82 ± 10 (65-100) points at the final follow-up examination (p < 0.05). All patients showed bony union radiographically. One patient presented with a re-fracture of the clavicle nearly 3 years after revision surgery and 5 weeks after implant removal. Secondary fractures at the donor site of the anterior superior iliac spine were recorded in two patients.
conclusionsIliac crest bone graft and anatomic locking plate fixation allow for a safe and adequate stabilization and radiographical bony union in non- and malunions of the clavicle with a high degree of patient satisfaction. However, secondary fractures of the anterior superior iliac spine constitute relevant complications and the time of hardware removal should be considered carefully.
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