Select a Community
Are you sure you want to trigger topic in your Anconeus AI algorithm?
You are done for today with this topic.
Would you like to start learning session with this topic items scheduled for future?
Addition of a bone stimulator
0%
7/1479
Figure of eight brace
1%
12/1479
Closed reduction and percutaneous pinning
2/1479
Open reduction and intramedullary nailing
5%
71/1479
Open reduction and compression plating
93%
1380/1479
Select Answer to see Preferred Response
Figure A shows a clavicular nonunion. Observation is the wrong answer because the patient is symptomatic (if the patient is asymptomatic an atrophic nonunion of the clavicle can be observed unless neurovascular symptoms are present). Intramedullary fixation is difficult because the pin has to pass through thin atrophic ends of bone close to neurovascular structures. Percutaneous pinning may cause distraction and migration of K-wires is common. In the referenced study by Boyer et al, the authors note success in treating atrophic nonunions of the clavicle with compression and lag-screw fixation (absolute stability), in conjunction with cancellous autograft. The referenced study by Bradbury et al reports on 32 clavicle nonunion procedures. They note 31 of 32 went on to union with use of a 3.5mm recon plate or small fragment DCP plate, also in conjunction with cancellous autograft.
3.3
(32)
Please Login to add comment