|
KMID : 0378019830260090043
|
|
New Medical Journal
1983 Volume.26 No. 9 p.43 ~ p.49
|
|
|
Open reduction and internal fixatoin of clavicle fracture
|
|
|
|
|
Abstract
|
|
|
Most of the clinical studies reported in the literature have indicated that closed management is the treatment of choice for clavicle fracture. What is more, it has also been suggested by some authors that open reduction may contribute to the development of non-union of fractured clavicle.
From 1973 to 1982, seventeen of 317 cases with a fracture of clavicle were treated by open reduction and internal fixation because of its´ serious complications at the Dept. of Orthopaedic, Surgery, St. Mary´s Hospital, Catholic Medical College & Center.
The major causes for open reduction in this report were as follows.
1. One case of neurovascular complication caused by postero-inferior displacement and impingement of bone fragment on the subclavian artery.
2. Three cases of wide separation of fracture gap with interposition of soft tissues.
3. Six cases of symptomatic non-union following by closed methods.
4. Three cases of malunion for cosmetic purpose.
5. Four cases of fracture of the distal third with or without disruption of the coracoclavicular ligament.
For all seventeen patients, follow-up performed from three months to four years and its average duration was seven months.
With this reservation concerning our experience, we think if indicated open reduction and internal fixation will provide excellent results in terms of healing and function without undue risk of non-union. And if open reduction is inevitable, the most prefarable method to maintain the fracture alignment and to get more rigid fixation is the fixation by means of an intramedullary devices, such as threaded Steinman´s pin.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|
|