Sung-Sik Ha; Jae-Chun Sim; Ki-Do Hong; Jae-Young Kim; Jung-Ho Kang; Kwang-Hee Park

doi:10.12671/jkfs.2007.20.3.233

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Original Article
Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann Pin: Sung-Sik Ha, M.D., Jae-Chun Sim, M.D., Ki-Do Hong, M.D., Jae-Young Kim, M.D., Jung-Ho Kang, M.D., Kwang-Hee Park, M.D.; Journal of the Korean Fracture Society 2007;20(3):233-238.
DOI: https://doi.org/10.12671/jkfs.2007.20.3.233
Published online: June 14, 2016

Department of Orthopedic Surgery, Seoul Adventist Hospital, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Seoul Adventist Hospital, 29-1, Hwigyeong 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-189 simjc@medigate.net

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Abstract
REFERENCES

Abstract

Purpose
To evaluate the results between open reduction and internal fixation with the plate and percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin for clavicle shaft fractures in adult.
Materials and Methods
We have studied the results in 33 cases with the plate, 35 cases with the Steinmann pin among total 68 cases of clavicle shaft fracture. The patients were followed up over a period of at least 12 months. The final postoperative outcome was analyzed with the clinical outcomes using Kang's criteria, radiological union time and operation time.
Results
The clinical outcome that was good or excellent according to the Kang's criteria showed a distribution of 88% in the group using the plate with 29 cases out of total 33 cases, 91% in the group using the Steinmann pin with 32 cases out of total 35 cases. The mean radiological union time was 8.9 weeks in the group using the plate, 9.1 weeks in the group using Steinmann pin. The mean operation time was 72 minutes in the group using the plate, whereas was 18 minutes in the group using Steinmann pin.
Conclusion
In the treatment of adult clavicle shaft fracture, two groups did not show a significant statistical difference in clinical and radiological outcomes. However, the operation time and postoperative functional recovery was significantly shorter and faster in the group using Steinmann pin. Additionally economic and cosmetic aspect was more satisfactory in the group using Steinmann pin.
Key words: Clavicle shaft fracture, Plate fixation, Intramedullary fixation, Steinmann pin

REFERENCES

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Fig. 1

(A) and (B) are preoperative radiograph and postoperative radiograph in open reduction and internal fixation with plate and screw.

Fig. 2

(A) and (B) are preoperative radiograph and postoperative radiograph in percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin.

Table 1

Distribution by Robinson classification in two groups

Table 2

Clinical results by Kang's criteria

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by

Anatomical Reduction of All Fracture Fragments and Fixation Using Inter-Fragmentary Screw and Plate in Comminuted and Displaced Clavicle Mid-Shaft Fracture
Kyoung Hwan Koh, Min Soo Shon, Seung Won Lee, Jong Ho Kim, Jae Chul Yoo
Journal of the Korean Fracture Society.2012; 25(4): 300. CrossRef
Does Interfragmentary Cerclage Wire Fixation in Clavicle Shaft Fracture Interfere the Fracture Healing?
Jae-Kwang Yum, Yong-Woon Shin, Hee-Sung Lee, Jae-Gu Park
Journal of the Korean Fracture Society.2011; 24(2): 138. CrossRef

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Comparison of Results in Two Operative Treatments for Clavicle Shaft Fractures in Adult: Comparison of Results between Open Reduction and Internal Fixation with the Plate and Percutaneous Reduction by Towel Clip and Intramedullary Fixation with Steinmann Pin

J Korean Fract Soc. 2007;20(3):233-238. Published online July 31, 2007

DOI: https://doi.org/10.12671/jkfs.2007.20.3.233

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Figure

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Fig. 1 (A) and (B) are preoperative radiograph and postoperative radiograph in open reduction and internal fixation with plate and screw.

Fig. 2 (A) and (B) are preoperative radiograph and postoperative radiograph in percutaneous reduction by towel clip and intramedullary fixation with Steinmann pin.