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Clavicular non-union treated with fixation using locking compression plate without bone graft.

Wan Chen1, Kanglai Tang2, Xu Tao1

  • 1Department of Orthopedic Surgery, Southwest Hospital, Third Military Medical University, Chongqing, 400038, China.

Journal of Orthopaedic Surgery and Research
|December 14, 2018
PubMed
Summary

Fixation with a locking compression plate (LCP) without bone grafting effectively treats clavicular non-union defects under 2 cm, showing significant functional improvement and union without complications.

Keywords:
Bone graftClavicular non-unionLCP

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management
  • Bone Healing

Background:

  • Limited literature exists on the critical defect size for clavicular non-union requiring bone grafting.
  • Evaluating non-operative treatment options for clavicular non-union is crucial for patient outcomes.

Purpose of the Study:

  • To assess the functional and radiological outcomes of treating clavicular non-union with segmental defects less than 2 cm.
  • To evaluate the efficacy of locking compression plate (LCP) fixation without bone grafting in these cases.

Main Methods:

  • A cohort of 17 patients with mid-shaft clavicular non-union underwent bone sclerosis resection and LCP fixation without bone graft.
  • Patients were assessed preoperatively and at a minimum of 24 months postoperatively using DASH and Constant-Murley scores, along with radiographic evaluation.

Main Results:

  • All 17 patients achieved fracture union with no loss to follow-up.
  • Significant improvements were observed in Disabilities of the Arm, Shoulder and Hand (DASH) scores (38.76 to 19.88) and Constant-Murley scores (41.59 to 75.47).
  • No correlation was found between defect size and functional outcomes; no complications were reported.

Conclusions:

  • Bone sclerosis resection and LCP fixation without bone graft is an effective treatment for clavicular non-union with defects less than 2 cm.
  • This technique demonstrates a low complication rate and leads to successful fracture union and functional recovery.