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

D. Boehme, R. J. Curtis, J. T. DeHaan, S. P. Kay, D. C. Young, C. A. Rockwood

Research output: Contribution to journalArticlepeer-review

94 Scopus citations

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
DOIs
StatePublished - Jan 1 1991

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

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