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Clavicular Nonunion and Malunion: Evaluation and Surgical Management
The Journal of the American Academy of Orthopaedic Surgeons
|January 1, 1996
Summary
Clavicle nonunions and malunions can cause significant disability. Surgical reconstruction and salvage aim to restore function and anatomy, with osteotomy considered for symptomatic malunions.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Musculoskeletal System
Background:
- Nonunions and malunions of the clavicle are infrequent but can lead to severe functional impairment.
- Symptoms include pain, restricted shoulder mobility, and brachial plexus compression.
Purpose of the Study:
- To review the management strategies for clavicle nonunions and malunions.
- To discuss reconstructive and salvage procedures for these conditions.
Main Methods:
- Review of literature on clavicle fracture complications.
- Discussion of surgical techniques for nonunion and malunion correction.
Main Results:
- Nonunions often result from severe fractures or failed initial treatment.
- Reconstruction typically involves bone grafting and internal fixation (plates and screws).
- Salvage options include resection procedures; osteotomy is indicated for symptomatic malunions.
Conclusions:
- Effective management of clavicle nonunions and malunions requires addressing anatomical restoration and functional deficits.
- Surgical intervention is crucial for achieving union and alleviating symptoms.