Infected Nonunion of Clavicle Shaft after Operation: A Case Report

Ho-Su Jang; Suk-Hwan Jang

doi:10.12671/jkfs.2015.28.1.77

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Jang and Jang: Infected Nonunion of Clavicle Shaft after Operation: A Case Report

Case Report

Journal of the Korean Fracture Society 2015; 28(1): 77-81.

Published online: 20 January 2015

DOI: https://doi.org/10.12671/jkfs.2015.28.1.77

Infected Nonunion of Clavicle Shaft after Operation: A Case Report

Ho-Su Jang, M.D., Suk-Hwan Jang, M.D.

Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea.

Address reprint requests to: Suk-Hwan Jang, M.D. Department of Orthopedic Surgery, Seoul Paik Hospital, Inje University College of Medicine, 9 Mareunnae-ro, Jung-gu, Seoul 100-032, Korea. Tel: 82-2-2270-0028, Fax: 82-2-2270-0023, orthopodjang@gmail.com

Received 16 August 2014 Revised 7 October 2014 Accepted 18 December 2014

(open-access):

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The infected nonunion of clavicle with bone defect is an uncommon complication following clavicle shaft fracture. There were a few reports regarding treatment of the infected nonunion after clavicle fracture. We report on a case of infected clavicle nonunion successfully treated with autologous bone graft and dual plate fixation.

Keywords: Clavicle, Infected nonunion, Bone graft, Dual plate fixation

Figures and Tables

Fig. 1

(A) Preoperative radiograph taken 4 months after the initial operation shows nonunion of the right clavicle shaft with intervening sequestered bone fragment. (B) Gross photograph of the right shoulder showing the draining sinus with suppurative discharge over the clavicle shaft.

Fig. 2

(A) Postoperative radiograph after the initial operation at our hospital showing inserted antibiotic-impregnated cement beads with bone defect (B) Reconstructed images using 3-dimensional computed tomography of both clavicles were used to determine the difference between clavicle lengths.

Fig. 3

Radiograph at 2 years after final surgery shows complete bony union.

Notes

Financial support: None.

Conflict of interest: None.

References

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