Results of surgical treatment for clavicular fractures.

概要

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Clavicle fracture are usually treated conservatively by bandage or plaster cast. It has also been suggested by some authors that surgical treatment for clavicular fracture sometimes results in non-union. 111 cases out of 720 clavicular fractures which have been treated in our hospital during these five years (1978-1983) were treated by open reduction and internal fixations. 70 cases of these 111 were available for this study. Of these cases 46 were fixed with plate and screws, 15 with Kirschner wire nailing, 7 with Kirschner wire nailing combined with tension band wiring and 2 with others. Obtained results and conclusions were as follows:1. Plating is a most preferable method in comminuted fracture and non-union at the middle third portion in any ages.2. Intermedullary Kirschner wire nailing is only preferable in transverse fracture of the middle third portion, especially in adolescent and young adult.3. Inteamedullary Kirschner wire combined with tension band wiring is only preferable in fracture of the distal third portion.
西日本整形・災害外科学会の論文