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KMID : 0361620170520010007
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Journal of the Korean Orthopaedic Association
2017 Volume.52 No. 1 p.7 ~ p.14
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Surgical Techniques for Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
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Ha Sung-Sik
Sim Jae-Cheon
Sung Min-Chul
Jeon Jong-Hyun
Seo Yi-Rak
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Abstract
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Purpose: To report the clinical results from surgical treatment for clavicle shaft fracture by percutaneous intramedullary fixation with Steinmann pins.
Materials and Methods: Between January 2004 and June 2014, the medical records of 135 patients who underwent percutaneous intramedullary fixation with Steinmann pins were reviewed. The mean follow-up periods were 15 months. The functional results were evaluated with The Disabilities of the Arm, Shoulder and Hand (DASH) score and Constant score. The clinical results were evaluated with the shortened length of the clavicle, length of surgical wound, operation time and Kang's criteria.
Results: The mean bone union period was 11.6 weeks (8?16 weeks). The mean DASH score was 11.8. The mean Constant score was 91.2. The mean shortened length of the clavicle was less than 20 mm. The mean length of surgical wound was 1.2 cm (0.7?1.5 cm). The mean operation time was 18 minutes (10?35 minutes). Using Kang's criteria, 131 out of 135 patients (97.0%) showed good results. Complications included were 3 pin migrations and 2 non-unions.
Conclusion: Percutaneous intramedullary fixation with Steinmann pins showed good results for treating clavicle shaft fracture.
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KEYWORD
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clavicle, clavicle shaft fracture, intramedullary pin fixation
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