ArticleJournal of orthopaedic surgery and research2018
Clavicular non-union treated with fixation using locking compression plate without bone graft.
Article in Journal of orthopaedic surgery and research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 19 citations in OpenAlex.
- [Clavicle nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Clavicle Shaft Non-Unions-Do We Even Need Bone Grafts?Journal of clinical medicine · 2024Article
- Plate augmentation and hybrid bone grafting are effective treatments for atrophic nonunion of the femur with the original intramedullary nail retained in situ.Scientific reports · 2024Article
- Plate fixation of midshaft clavicle fractures for delayed union and non-union is a cost-effective intervention but functional deficits persist at long-term follow-up.Shoulder & elbow · 2022Article
- Safe and Effective Treatment of Compromised Clavicle Fracture of the Medial and Lateral Third Using Focused Shockwaves.Journal of clinical medicine · 2022Article
- Displaced mid-shaft clavicular fractures: state of the art for athletes and young active people.International orthopaedics · 2021Review
- The efficiency of internal fixation with bone grafting at docking sites after bone transport for treatment of large segmental tibial bone defects.American journal of translational research · 2021Article
- Surgical outcome of upper extremity fractures in patients with Parkinson's disease.Scientific reports · 2020Article
- Treatment of a Recalcitrant Non-union of the Clavicle.Strategies in trauma and limb reconstructionArticle
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundThe articles that have reported on the size at which a segmental defect of clavicular non-union requires bone grafting are scarce. This study evaluated the functional and radiologic results of fixation by locking compression plate (LCP) without bone graft when the defect size is less than 2 cm following bone sclerosis removal for the treatment of clavicular non-union.
methodsThe study included 17 patients with mid-shaft clavicular non-union. All patients underwent bone sclerosis resection and fixation using LCP without bone graft. The patients were evaluated preoperatively, and after a minimum of 24 months (mean, 44.47 months; range, 24 to 60 months) postoperatively in terms of the disabilities of the arm, shoulder and hand (DASH) score, the Constant-Murley score, and radiography.
resultsIn this study, no patients were lost to follow-up. The mean DASH score improved from 38.76 ± 7.76 (31.00-46.52) points preoperatively to 19.88 ± 7.18 (12.70-27.06) points 2 years postoperatively (P < 0.01). The mean Constant-Murley score improved from 41.59 ± 8.81 (32.78-50.40) points preoperatively to 75.47 ± 13.50 (61.97-88.97) points 2 years postoperatively (P < 0.01). Radiographs revealed fracture union in all patients. No correlations between the defect size and the postoperative Constant-Murley score or between the defect size and the postoperative DASH score were found based on Pearson tests. No complications, particularly acromioclavicular joint complications and sternoclavicular joint complications, were observed.
conclusionsIn conclusion, we can suggest, from the findings of our study, that bone sclerosis resection and fixation using LCP without bone graft is effective for the treatment of clavicular non-union involving a gap of less than 2 cm and has a low rate of complications.
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