Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 26376
SUPERIOR LOCKING COMPRESSION PLATING OF CLAVICULA FRACTURE
NON-UNIONS WITH OR WITHOUT BONE GRAFTING - OUTCOME IN 58 CASES
Matthias ERHARDT, Stefan STUDIER- FISCHER, Thorsten GUEHRING, Paul Alfred
GRUETZNER, Christian FRANK
BG Unfallklinik Ludwigshafen, Ludwigshafen (GERMANY)
A retrospective outcome-study with respect to the number of operations needed to
reach union and the surgical technique. 58 patients treated from 2003 to 2009 were
retrospectively analysed. Results: 15 patients were female. The average age was 46
years. Indication: Symptomatic non-union with disability from pain and altered
shoulder mechanics. 38 patients were initially treated conservatively, 12 had a plate
fixation, 6 patients were treated with elastic nailing and two patients with tensionband
wiring of lateral fractures. In 2 patients a postoperative septical non-union was
treated. 86% showed a bone union after the first operation with LCP. In 31 patients
bone grafting was performed. In 8 patients a revision surgery had to be performed
because of persisting non- union. In one of those patients union cold not be obtained
even in 3 further operations with additional application of BMP-7. In two of our cases
a postoperative infection occurred with following removal of the plate and no further
treatment in one of them.A toto of 95% union rate could be achieved. In 52% a
removal of the plate was performed. Conclusion: Superior locking compression
plating in combination with bone grafting is a reliable and reproducible treatment for
non- unions of the clavicula. Because of cosmetic reasons but also skin irritation
about half of the plates were removed. The anterior-inferior plating could have
advantages in regard of the number of plate removals.
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