ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2022
Osteosynthesis with autologous dual bone graft for nonunion of midshaft clavicle fractures: clinical and radiological outcomes.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 10 citations in OpenAlex.
- Does butterfly fragment management affect healing following fixation of comminuted clavicle fractures?European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Article
- Comparing two autologous bone grafting techniques to treat clavicular midshaft atrophic nonunion: a retrospective study.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2025Article
- Revision surgery after failed surgical treatment of midshaft clavicle fractures is often associated with positive detection of bacteria.Archives of orthopaedic and trauma surgery · 2023Article
- Large segmental defects in midshaft clavicle nonunion treated with autologous tricortical iliac crest bone graft.Shoulder & elbow · 2023Article
- Predictors requiring special attention to prevent clavicle fracture nonunion: a systematic review of literature.Trauma surgery & acute care open · 2023Article
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Authors and funding
4 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study evaluated the clinical and radiological results of plate osteosynthesis with autologous cortical and cancellous bone graft for nonunion of midshaft clavicle fracture.
methodsA retrospective review was performed for all patients who underwent surgery for midshaft clavicle nonunion at a Level I trauma center. Visual analog scales (VAS) for pain and Quick-DASH (Disabilities of Arm, Shoulder, and Hand) score were assessed. Bone union rate, change in length of affected clavicle, complications, and reoperation were determined. Risk factors were identified to determine the effect on the healing.
resultsThirty-four patients were included for analysis. All patients achieved solid bone union at mean 16 weeks (range 8-36) after surgery. The mean shortening of affected clavicle decreased significantly postoperatively (P < 0.001). There was significant improvement in both pain VAS and Quick-DASH score (P < 0.001). There was no wound complication, infection, or major neurovascular injury. Ten patients (29%) complained of plate irritation and underwent removal of implant without any subsequent adverse event. Multiple regression analysis demonstrated that high-energy trauma and previous surgery were the independent risk factors that significantly delayed time to union (P < 0.05).
conclusionOsteosynthesis with autologous dual bone graft for nonunion of midshaft clavicle produced an excellent union rate with good clinical outcome and minimal complications.
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