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HOME > J Musculoskelet Trauma > Volume 25(1); 2012 > Article
Original Article
Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
Ki-Do Hong, M.D., Jae-Chun Sim, M.D., Sung-Sik Ha, M.D., Tae-Ho Kim, M.D., Jong-Hyun Kim, M.D., Jong-Seong Lee, M.D.
Journal of the Korean Fracture Society 2012;25(1):31-37.
DOI: https://doi.org/10.12671/jkfs.2012.25.1.31
Published online: January 31, 2012

Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.

Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 29-1, Hwigyoung 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, kjh2789@hanmail.net
• Received: October 2, 2011   • Revised: November 7, 2011   • Accepted: December 5, 2011

Copyright © 2012 The Korean Fracture Society

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  • Purpose
    To report the clinical results of surgical treatment of clavicle shaft fracture by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation.
  • Materials and Methods
    This study reviewed the results of 80 cases of clavicle shaft fracture treated by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation with Steinmann pins from January 2002 to August 2010, after follow-up for 12 months or more. We evaluated the clinical results, such as union time and complications.
  • Results
    Bone union was evident in all cases and the mean time for bone union to appear on radiological findings was 10.3 weeks. Using Kang's criteria, 78 of the 80 patients (97.5%) showed good results and there were no severe complications.
  • Conclusion
    Percutaneous reduction with towel clips and the percutaneous intramedullary pin fixation method showed good results for treating clavicle shaft fracture.
  • Key words: Clavicle shaft fracture, Reduction with towel clip, Percutaneous intramedullary pin fixation
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Fig. 1
The picture and the radiograph shows the percutaneous insertion of Steinmann pin into the intramedullary canal under the fluoroscopic guidance from the fracture side to the medial end.
jkfs-25-31-g001.jpg
Fig. 2
The picture and the radiograph shows reduction of the clavicle fracture with towel clip.
jkfs-25-31-g002.jpg
Fig. 3
The picture and the radiograph shows retrograde reinsertion of Steinmann pin after reduction of the fracture site under the fluoroscopic guide.
jkfs-25-31-g003.jpg
Fig. 4
The picture shows bending the remnant part of Steinmann pin.
jkfs-25-31-g004.jpg
Fig. 5
(A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1
(B) Immediate postoperative radiograph shows well reducted clavicle with percutaneous Steinmann pin fixation.
(C) Postoperative 12 weeks radiograph shows bone union.
jkfs-25-31-g005.jpg
Fig. 6
(A) Preoperative 3D computerized tomography shows displaced clavicle shaft fracture with double butterfly fragment as Robinson classification type 2B2.
(B) Immediate postoperative radiograph shows well reducted clavicle fracture with double butterfly fragments with Steinmann pin.
(C) Postoperative 12 weeks radiograph shows complete bone union with butterfly fragments and complete remodeling of clavicle fracture.
jkfs-25-31-g006.jpg
Fig. 7
(A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1.
(B) The radiograph shows the bended Steinmann pin due to slip down on 2 weeks after operation.
(C) Postoperative 12 weeks radiograph shows bone union and remodeling without any other procedure.
jkfs-25-31-g007.jpg
Table 1
Robinson classification of fractures
jkfs-25-31-i001.jpg
Table 2
Union time of the fracture
jkfs-25-31-i002.jpg
Table 3
Fractures for evaluation of results and clinical scoring system by Kang et al
jkfs-25-31-i003.jpg
Table 4
Complications
jkfs-25-31-i004.jpg

Figure & Data

REFERENCES

    Citations

    Citations to this article as recorded by  
    • Additional fixation using a metal plate with bioresorbable screws and wires for robinson type 2B clavicle fracture
      Woo Jin shin, Young Woo Chung, Seon Do Kim, Ki-Yong An
      Clinics in Shoulder and Elbow.2020; 23(4): 205.     CrossRef
    • A Comparison between Minimally Invasive Percutaneous Plate Osteosynthesis and Plate Fixation in the Treatment of Clavicle Midshaft Fracture
      Seong-Ho Yoo, Suk-Woong Kang, Bu-Hwan Kim, Moo-Ho Song, Yeong-Joon Kim, Gyu-Taek Park, Chang-Hun Kwack
      Journal of the Korean Orthopaedic Association.2017; 52(1): 1.     CrossRef

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      • Citation for the content below
      Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
      J Korean Fract Soc. 2012;25(1):31-37.   Published online January 31, 2012
      DOI: https://doi.org/10.12671/jkfs.2012.25.1.31
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    Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures
    Image Image Image Image Image Image Image
    Fig. 1 The picture and the radiograph shows the percutaneous insertion of Steinmann pin into the intramedullary canal under the fluoroscopic guidance from the fracture side to the medial end.
    Fig. 2 The picture and the radiograph shows reduction of the clavicle fracture with towel clip.
    Fig. 3 The picture and the radiograph shows retrograde reinsertion of Steinmann pin after reduction of the fracture site under the fluoroscopic guide.
    Fig. 4 The picture shows bending the remnant part of Steinmann pin.
    Fig. 5 (A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1 (B) Immediate postoperative radiograph shows well reducted clavicle with percutaneous Steinmann pin fixation. (C) Postoperative 12 weeks radiograph shows bone union.
    Fig. 6 (A) Preoperative 3D computerized tomography shows displaced clavicle shaft fracture with double butterfly fragment as Robinson classification type 2B2. (B) Immediate postoperative radiograph shows well reducted clavicle fracture with double butterfly fragments with Steinmann pin. (C) Postoperative 12 weeks radiograph shows complete bone union with butterfly fragments and complete remodeling of clavicle fracture.
    Fig. 7 (A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1. (B) The radiograph shows the bended Steinmann pin due to slip down on 2 weeks after operation. (C) Postoperative 12 weeks radiograph shows bone union and remodeling without any other procedure.

    Fig. 1

    Fig. 2

    Fig. 3

    Fig. 4

    Fig. 5

    Fig. 6

    Fig. 7

    Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures

    Robinson classification of fractures

    Union time of the fracture

    Fractures for evaluation of results and clinical scoring system by Kang et al

    Complications
    Table 1 Robinson classification of fractures

    Table 2 Union time of the fracture

    Table 3 Fractures for evaluation of results and clinical scoring system by Kang et al

    Table 4 Complications

    Table 1

    Table 2

    Table 3

    Table 4

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