Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting

D. Boehme, Ralph J Curtis, J. T. DeHaan, S. P. Kay, D. C. Young, Charles A Rockwood Jr

Research output: Contribution to journalArticle

92 Citations (Scopus)

Abstract

We reviewed a series of fifty patients who had a non-union of a fracture of the clavicle. Twenty-one patients (42 per cent) who had a symptomatic non-union of the middle of the shaft of the clavicle were treated with open reduction, internal fixation with a modified Hagie intramedullary pin, and autogenous bone-grafting, and those patients form the basis for the report. The average duration of follow-up was thirty-five months (range, five months to eleven years). Healing occurred in twenty (95 per cent) of the twenty-one patients. Intramedullary fixation has several advantages compared with other treatments, such as fixation with a plate and screws. It can be performed through a cosmetically acceptable incision in the Langer line; less dissection of the soft tissues is needed; and, after healing, the pin can be removed through a small incision under local anesthesia.

Original languageEnglish (US)
Pages (from-to)1219-1226
Number of pages8
JournalJournal of Bone and Joint Surgery - Series A
Volume73 A
Issue number8
StatePublished - 1991

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Clavicle
Bone Transplantation
Local Anesthesia
Therapeutics
Dissection

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Boehme, D., Curtis, R. J., DeHaan, J. T., Kay, S. P., Young, D. C., & Rockwood Jr, C. A. (1991). Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting. Journal of Bone and Joint Surgery - Series A, 73 A(8), 1219-1226.

Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting. / Boehme, D.; Curtis, Ralph J; DeHaan, J. T.; Kay, S. P.; Young, D. C.; Rockwood Jr, Charles A.

In: Journal of Bone and Joint Surgery - Series A, Vol. 73 A, No. 8, 1991, p. 1219-1226.

Research output: Contribution to journalArticle

Boehme, D. ; Curtis, Ralph J ; DeHaan, J. T. ; Kay, S. P. ; Young, D. C. ; Rockwood Jr, Charles A. / Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting. In: Journal of Bone and Joint Surgery - Series A. 1991 ; Vol. 73 A, No. 8. pp. 1219-1226.
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