Abstract
The surgical treatment of medial clavicle nonunion is associated with high complication and failure rates, particularly with regard to metal work migration. Therefore, we describe a simple surgical procedure for displaced medial clavicle fractures using a small T-shaped plate and multiple tension band sutures. After stabilizing the medial clavicle fracture using a small nonunion for the distal radius, our simple technique for preventing high complication and failure rates is performed easily and effectively, with sufficient tension band sutures.
References
Al-Yassari G, Hetzenauer M, Tauber M, Resch H (2009) Novel method to treat sterno-clavicular joint instability and medial clavicle fracture symptomatic nonunion. J Shoulder Elbow Surg 18(4):553–555
Fransen P, Bourgeois S, Rommens J (2007) Kirschner wire migration causing spinal cord injury one year after internal fixation of a clavicle fracture. Acta Orthop Belg 73:390–392
Hegemann S, Kleining R, Schindler HG, Holthusen H (2005) Kirschner wire migration in the contralateral lung after osteosynthesis of a clavicular fracture. Unfallchirurg 108:991–993
Kim KC, Rhee KJ, Shin HD (2008) Tension band sutures using a washer for a proximal humerus fracture. J Trauma 64(4):1136–1138
Low AK, Duckworth DG, Bokor DJ (2008) Operative outcome of displaced medial-end clavicle fractures in adults. J Shoulder Elbow Surg 17(5):751–754 (epub 2008 May 21)
Nowak J, Holgersson M, Larsson S (2005) Sequelae from clavicular fractures are common: a prospective study of 222 patients. Acta Orthop 76:496–502
Park JY, An JW, Oh JH (2006) Open intramedullary nailing with tension band and locking sutures for proximal humeral fracture: hot air balloon technique. J Shoulder Elbow Surg 15:594–601
Robinson CM, Court-Brown CM, McQueen MM, Wakefield AE (2004) Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg Am 86:1359–1365
Throckmorton T, Kuhn JE (2007) Fractures of the medial end of the clavicle. J Shoulder Elbow Surg 16(1):49–54 (epub 2006 Dec 12)
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kim, K.C., Shin, H.D. & Cha, S.M. Surgical treatment of displaced medial clavicle fractures using a small T-shaped plate and tension band sutures. Arch Orthop Trauma Surg 131, 1673–1676 (2011). https://doi.org/10.1007/s00402-011-1367-5
Received:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00402-011-1367-5