RESUMO
PURPOSE: To assess an alternative technique for the treatment of midshaft non-unions of the clavicle. METHODS: Five patients with symptomatic non-unions of the clavicle were treated with open reduction and intramedullary fixation by using a Herbert cannulated bone screw. Autogenous bone grafting was applied in one case and decortication in the other 4 cases. RESULTS: Review of the clinical and radiological documentation at a mean time of 13 months (range, 9-26 months) postoperatively shows that union was achieved in all 5 cases. There were no complications related to the operation, and no patient needed removal of the implant for protrusion, loosening, or any other cause. CONCLUSION: Midshaft non-unions of the clavicle can be treated successfully using the Herbert cannulated bone screw, which avoids the need for a second operation to remove the implant after bone union.
Assuntos
Parafusos Ósseos , Clavícula/lesões , Fixação Interna de Fraturas/instrumentação , Fraturas não Consolidadas/cirurgia , Adolescente , Adulto , Clavícula/diagnóstico por imagem , Desenho de Equipamento , Segurança de Equipamentos , Feminino , Seguimentos , Fixação Interna de Fraturas/métodos , Consolidação da Fratura/fisiologia , Fraturas não Consolidadas/diagnóstico por imagem , Humanos , Escala de Gravidade do Ferimento , Masculino , Pessoa de Meia-Idade , Radiografia , Estudos de Amostragem , Resultado do TratamentoRESUMO
Pseudarthrosis of the midshaft of the clavicle can be treated successfully using the Herbert cannulated bone screw with no need for a second operation to remove the implant after bone union.
