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Oh, Cho, and Kim: Management of Clavicular Shaft Fracture with Open Reduction and Internal Fixation
Original Article

Journal of the Korean Society of Fractures 1996; 9(4): 1047-1053.

Published online: 6 July 2016

DOI: https://doi.org/10.12671/jksf.1996.9.4.1047

Management of Clavicular Shaft Fracture with Open Reduction and Internal Fixation

Hyung-Ho Oh, Yoon-Chul Cho, Yong-Min Kim*

Department of Orthopaedics Surgery, College of Medicine, Dongguk University, Pohang, Korea.

*Department of Orthopaedics Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea.

Copyright © The Korean Fracture Society

Abstract

Clavicular shaft fracture is one of the most common fractures, which had been managed via conservative methods with some exceptions such as nonunion. Open treatment had been regarded even as important cause of nonunion and poor outcomes. Nowadays, however, the goal of fracture treatment has become anatomical reduction, rigid fixation and early rehabilitation for better final results.
According to this principle, we managed 21 clavicular shaft fractures with open reduction and internal fixation(12; plate fixation. 9; intramedullary pinning) since 1991 to 1993. All the fractures united within postoperative 10 weeks(mean 6.4) without any remarkabte complications such as nonunion, infection, and limited shoulder motion. In some intramedullary pinning cases. skin irritation at pin site was troublesome, but disappeared after removal of the pin.
Likewise other long bone fractures, open reduction and internal fixation seemed to be one of the useful method in the treatment of clavicular shaft fractures. especially in displaced, and comminuted ones.

Keywords: clavicle, fracture, open reduction, internal fixation

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