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Broken clavicle1/17/2024 Therefore, most patients choose surgical treatment to achieve quicker recovery of function and better alignment, especially for the patients with a comminuted clavicle fracture. Most clavicle fractures could be cured by conservative treatment, except long-term immobilization-caused various complications, such as pain, deformity, and functional disorder of the shoulder. Our results presented that double-plate fixation with autogenous cancellous bone graft is an effective treatment for atrophic clavicular nonunion, especially for those with a significant bone defect.įractures of the clavicle account for 2.6–10% of all fractures. Average scores of the physical function and bodily pain components of the SF-36 were 94.2 ± 7.3 and 92.5 ± 5.8, respectively. All the patients were satisfied with their final clinical results by SF-36 outcome questionnaire. ![]() There is a statistical significance between the preoperative and the postoperative constant scores ( P < 0.05). No vascular injury, neural impairment, or thoracic outlet syndrome was discovered preoperatively or postoperatively. No implant-related complications (plate-screw loosening or breakage) were observed postoperatively. One patient had a postoperative superficial infection, and the patient was cured by oral antibiotics and wound dressing. The mean time of bony union was 9 weeks (range, 8–10 weeks). ResultsĪll patients were followed-up, with the average follow-up of 34.7 ± 6.7 months (range, 24–48 months). The Short Form-36 (SF-36) outcome questionnaire was used to assess the final clinical results. The Constant Score System was used to evaluate the preoperative and final outcomes. Methodsīetween February 2013 and November 2017, a total of 12 patients with atrophic clavicular nonunion (mean age, 40.4 ± 9.0 years, range, 27–60 years) were treated by double-plate fixation with autogenous cancellous bone graft in our institute. ![]() The objective of this study is to assess prospectively the effectiveness of double-plate fixation combined with autogenous cancellous bone graft in the treatment for the atrophic clavicular nonunion.
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