Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 25918
INTRAMEDULLARY PINNING FOR COMMINUTED MIDSHAFT CLAVICULAR
FRACTURES
Masafumi KISHIMOTO, Shigeru SHIONO
Nakakawachi Medical Center, Toyonaka (JAPAN)
[Purpose] For the operative treatment of the comminuted midshaft clavicular
fractures, plate fixation is often used to ensure better stability. However, it has the
disadvantages of damaging soft tissue around the fracture site and can potentially
cause bone atrophy. This report evaluates our treatment for comminuted midshaft
clavicular fractures combining intramedullary fixation by Kirschner Wire and fixation
of the third fragment with thread.[Cases and Method] Evaluation was made on a total
of 43 cases (43 fractures) treated since 1994, comprising of 31 men and 12 women,
from 14 to 72 years of age (average age 40.1); 36 cases were caused by traffic
accidents, 4 from sports and 3 from other causes. A method adopted was that after
making a small skin incision at the fracture site, main fragments were fixed with
Kirschner Wire (open reduction technique), and then the third fragment was fixed
with thread which was pierced through a groove created in the bone to prevent the
thread from coming off.[Results] The method resulted in stability and reduction in
post-op pain. Patients were allowed to begin shoulder motion two weeks after the
operation which led to an early return to daily routines. All fractures united without
malunion or malfunction. [Conclusion] Our treatment has advantages such as higher
stability, less damage to soft tissue around the fracture site, and flexibility since it can
be applied to any kind of comminuted midshaft clavicular fractures.
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