ArticleShoulder & elbow2023
Large segmental defects in midshaft clavicle nonunion treated with autologous tricortical iliac crest bone graft.
Article in Shoulder & elbow, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
6 citing papers in PubMed, 5 citations in OpenAlex.
- Recurrent Midshaft Clavicle Nonunion with a Large Segmental Bone Defect Treated with Autologous Iliac Crest Bone Graft and Dual Plating: A Case Report.Journal of orthopaedic case reports · 2026Article
- Therapeutic effect of modified iliac bone graft combined with antibiotic bone cement on lower limb bone infection complicated with large segment bone defect: An Observational Study.African health sciences · 2025Observational
- Management of Comminuted Midshaft Clavicle Fractures with Interfragmentary Screws, Non-Invasive Screw Fixation Knot Technique and Plating in 83 Patients.Journal of orthopaedic case reports · 2025Article
- [Clavicle nonunion].Unfallchirurgie (Heidelberg, Germany) · 2024Article
- Satisfactory results in five patients with septic clavicle nonunion using the modified Masquelet technique and structural iliac crest autograft.JSES international · 2024Article
- Article
Corrections and comments
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: To evaluate the use of intercalary iliac crest bone graft in the treatment of clavicle nonunion with a large segmental bone defect (3-6 cm). Methods: This retrospective study evaluated patients with large segmental bone defects (3-6 cm) after clavicle nonunion, treated with open reposition internal fixation and iliac crest bone graft between February 2003 and March 2021. At follow-up the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire was administered. A literature search was performed to provide an overview of commonly used graft types per defect size. Results: We included five patients treated with open reposition internal fixation and iliac crest bone graft for clavicle nonunion with a median defect size of 3.3 cm (range 3-6 cm). Union was achieved in all five, and all pre-operative symptoms resolved. The median DASH score was 23 out of 100 (IQR 8-24). An extensive literature search revealed that there are no studies describing the use of an used iliac crest graft for defects larger than 3 cm. Instead, a vascularized graft was typically used to treat defects sizes between 2.5 and 8 cm. Discussion: An autologous non-vascularized iliac crest bone graft can be safely used and is reproducible to treat a midshaft clavicle non-union with a bone defect between 3 and 6 cm.
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