Fixation of fractures of the midshaft of the clavicle with Kirschner wires

Ngarmukos, Chaithavat; Parkpian, Vinai; Patradul, Adisorn

doi:10.1302/0301-620x.80b1.0800106

Cited by 41 publications

(6 citation statements)

References 15 publications

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“…2,10 So, intramedullary Thossart Harnroongroj and Yongyot Jeerathanyasakun Journal of Orthopaedic Surgery pin fixation mostly uses external immobilization such as a sling or collar and cuff. 5,7 However, the intramedullary pin has many advantages, namely minimal soft tissue dissection and periosteal stripping, small surgical exposure, ease of removal, no skin prominance at the fracture and avoidance of stress shielding. 10 Since the clavicle is S-shaped, 6,8 insertion of an intermedullary pin with sufficient engagement length into the curved medullary canal across the fracture fragments poses a problem.…”

Section: Introductionmentioning

confidence: 99%

Intramedullary Pin Fixation in Clavicular Fractures: A Study Comparing the Use of Small and Large Pins

Harnroongroj

Jeerathanyasakun

2000

J Orthop Surg (Hong Kong)

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The S-shaped clavicle poses a problem for intramedullary pin fixation. Stability of fracture fixation is closely related to the length of intramedullary pin engagement. This study was carried out to determine the engagement length of intramedullary pins into clavicular fractures using a small and a large pin. Seven pairs of fresh cadaveric clavicles were prepared and arranged into Group 1 and Group 2 for paired study. A mid-third clavicular fracture was created at the junction of the two curves of the clavicle. In Group 1, a 3.2 mm diameter threaded Steinman pin was introduced into the medullary canal of the clavicle by retrograde technique and the medial fragment of the fracture was drilled until the pin perforated the bone cortex. In Group 2, a 4 mm diameter threaded Steinman pin was used in the same manner. The results showed that Group 1 had an average engagement of pin into the clavicle of 9.11 cm with a ratio to total length of the clavicle of 0.59. In Group 2, the average engagement length into the clavicle was 7.17 cm with a ratio of 0.47. The difference was significant, with the smaller pin providing better fixation. The pins in both groups perforated the lateral fragment at the posterosuperior aspect and the medial fragment at the anterior aspect of the clavicle. The angle that the pin made with the long axis of the clavicle in Group 1 was 22.43 degrees and in Group 2, 26.57 degrees. Although the 3.2 mm diameter pin was more aligned to the long axis of the clavicle than the 4 mm diameter pin, the difference was not significant.

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Section: Introductionmentioning

confidence: 99%

Intramedullary Pin Fixation in Clavicular Fractures: A Study Comparing the Use of Small and Large Pins

Harnroongroj

Jeerathanyasakun

2000

J Orthop Surg (Hong Kong)

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“…They came to a conclusion that operative procedure is associated with low complication such as non union, mal union etc. The complication with this procedure is k-wire migration 11 The combination of ipsilateral fracture of the clavicle and scapular neck has traditionally been called the "floating shoulder" 27 . It is considered as an unstable injury and may require operative fixation.…”

Section: Resultsmentioning

confidence: 99%

Analysis of Displaced Middle Third Clavicular Fractures Treated By Plate Osteosynthesis

Ortho¹

2017

jmscr

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“…[11] Functional impairment of the shoulder and appearance of non-cosmetic bump at the base of the neck were two limitation of conservative methods that is because of clavicle shortening and exuberant callus formation. [12] It is advisable to restore normal length and alignment by surgical methods. Other surgical modalities have shown good outcome with high union rates and minimum complication rates by primary fixation of the displaced fracture.…”

Section: Discussionmentioning

confidence: 99%

A Comparative Analysis of Plating versus Clavicle Pin in the Management of Clavicle Fracture

Tripathi¹

2022

ACMR

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To compare plating versus clavicle pin in the management of clavicle fracture. Eighty- four adult patient in age ranged 24- 60 years of either gender with mid-shaft clavicle fracture were randomly divided into 2 groups of 42 each. Group I patients were treated with clavicle pins and group II with plating. Parameters such as ASES score subjective, objective, constant score subjective, objective and complications of each method was recorded. There were 22 males and 20 females in group I and 24 males and 18 females in group II. ASES score subjective pain value found to be 9.8 in group I and 9.0 in group II. Activity score found to be 29.7 in group I and 28.3 in group II. ASES score objective range of motion found to be 40 in group I and 39.2 in group II. Strength was 20 each in both groups. Constant score subjective was 34.4 in group I and 32.1 in group II. Constant score objective was 63.5 in group I and 61.9 in group II. A significant difference was observed (P< 0.05). Result of the study demonstrated that clavicle pinning resulted in excellent functional outcomes.

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Fixation of fractures of the midshaft of the clavicle with Kirschner wires

Cited by 41 publications

References 15 publications

Intramedullary Pin Fixation in Clavicular Fractures: A Study Comparing the Use of Small and Large Pins

Intramedullary Pin Fixation in Clavicular Fractures: A Study Comparing the Use of Small and Large Pins

Analysis of Displaced Middle Third Clavicular Fractures Treated By Plate Osteosynthesis

A Comparative Analysis of Plating versus Clavicle Pin in the Management of Clavicle Fracture

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