Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2007 Jul;20(3):233-238. Korean.
    Published online Jun 14, 2016.
    https://doi.org/10.12671/jkfs.2007.20.3.233
    Copyright © The Korean Fracture Society. All rights reserved
    Original Article

    Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann Pin

    Sung-Sik Ha, M.D.,1 Jae-Chun Sim, M.D.,1 Ki-Do Hong, M.D.,1 Jae-Young Kim, M.D.,1 Jung-Ho Kang, M.D.,1 and Kwang-Hee Park, M.D.1
      • Department of Orthopedic Surgery, Seoul Adventist Hospital, Seoul, Korea.
    • Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Seoul Adventist Hospital, 29-1, Hwigyeong 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-189 Email: simjc@medigate.net

    Abstract

    Purpose

    To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult.

    Materials and Methods

    We have studied the results in 33 cases with the plate, 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang's criteria, radiological union time and operation time.

    Results

    The clinical outcome that was good or excellent according to the Kang's criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases, 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate, 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin.

    Conclusion

    In the treatment of adult clavicle shaft fracture, two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.

    Keywords
    Clavicle shaft fracture; Plate fixation; Intramedullary fixation; Steinmann pin

    Figures

    Fig. 1
    (A) and (B) are preoperative radiograph and postoperative radiograph in open reduction and internal fixation with plate and screw.

    Fig. 2
    (A) and (B) are preoperative radiograph and postoperative radiograph in percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin.

    Tables

    Table 1
    Distribution by Robinson classification in two groups

    Table 2
    Clinical results by Kang's criteria

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    MeSH Terms
    Adult*
    Clavicle*
    Humans
    Metrics
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