Nonunion of the clavicle.

概要

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A fracture of the clavicle is a common injury around the shoulder girdle. A figure of-eight bandage is the generally accepted treatment for such lesions during childhood. However, the choice of treatment for this injury in adults is still controversial. It is the purpose of this paper to study ten cases of nonunion of the clavicle occuring at our hospital from 1977 to the present time. We investigated them with special regard to factors predisposing them to pseudoarthrosis and the surgical treatment employed. Wesuggest that the chief reasons for development of nonunion would be insufficient reduction and/or inadequate fixation in non-operative treatment and insufficient fixation in operative treatment. Two patients required operative treatment with plate fixation, iliac bone on-lay graft and cancellous bone graft. Their results were classified as excellent.
西日本整形・災害外科学会の論文