Current Concepts: Treatment of Clavicle Fractures - CMX Travel

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Acta Orthopaedica 2007; 78 (3): 424–429 • Elastic nailing <strong>of</strong> 95 midshaft clavicle fractures • Open fracture reduction required in 53 patients (56%) • Nonunion 2% • Malunion 8% • Pin migration 4% • Revision surgery 5% Elastic Nailing Average op time: closed 53 minutes open 63 minutes
Elastic Nail Acta Orthopaedica 2007; 78 (3): 421–423 • 32 cases • 100% union • Open reduction necessary in 50% • Shortening > 5mm in 38% • Nail migration 25% – secondary shortening <strong>of</strong> the nail 16% • Nail breakage 6%
Page 1 and 2: Current Concepts: Treatment of Clav
Page 3 and 4: Background • Nonoperative treatme
Page 5 and 6: “All clavicles heal well” • O
Page 7 and 8: “All clavicles heal well” ?????
Page 9 and 10: J. Bone Joint Surg. Am. 89:1-10, 20
Page 11 and 12: • 3.5mm LCDC plate strongest •
Page 13 and 14: Plate Position • Superior plate b
Page 15 and 16: 103 plated clavicle fractures - 43%
Page 17 and 18: Infection after Plate Fixation •
Page 19 and 20: Failed Locking Plates
Page 21 and 22: Failed Plates
Page 23 and 24: Intramedullary Fixation • IM fixa
Page 25 and 26: Why Intramedullary Fixation? • Mi
Page 27: Elastic nailing Unfallchirurg 2006
Page 31: Intramedullary Fixation
Page 37: Lateral Placement
Page 41: Cutting the Pin
Page 46 and 47: Postop Care • No immobilization u
Page 48: 1 week postop
Page 51 and 52: Plate versus Pin • Thyagarajan, 2
Page 53 and 54: Plate versus Pin • 62 elderly pat

Current Concepts: Treatment of Clavicle Fractures - CMX Travel

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