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Lee, Shin, and Rim: Treatment of the fractures of clavicle with butterfly fragment
Original Article

Journal of the Korean Society of Fractures 1992; 5(1): 43-49.

Published online: 28 June 2016

DOI: https://doi.org/10.12671/jksf.1992.5.1.43

Treatment of the fractures of clavicle with butterfly fragment

Sang Hong Lee, M.D., Dong Min Shin, M.D., Geun Sig Rim, M.D.

Department of Orthopaedic Surgery, College of Medicine, Chosun University, Kwang Ju, Korea.

Copyright © The Korean Fracture Society

Abstract

In case of clavicular fractures in adult, the goal of treatment is to achieve bone healing with minimum morbidity, minimal loss of function and minimal resldual defnhty.
Fractures of clavicle with butterfly fragment have been treated by various methods. such as modified shoulder spica cast, figure-of_eight bandages and surgical operation.
It is very difficult to decide the method of treatment conservatively or operatively.
The authors treated 20 cases of clavicular fractures with butterfly fragment from January 1987 to August 1990.
Among these, 12 cases were treated by operative methods and 8 cases by modifird shoulder spica cast or figure of 8 bandages.
By comparison of clinical results on both treatment group, many complications were noticed in operative group.
It is difficult to arrive at any definite conclusions, because we experienced in few cases.
But, closed treatment constitute the preferred procedure In majority of patients except few specific patients.

Keywords: Fracture, Clavicle, Butterfly fragment, Treatment

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