Clavicular nonunions treated with compression plate fixation and cancellous bone grafting: The functional outcome

The role of autologous bone graft in surgical treatment of hypertrophic nonunion of midshaft clavicle fractures

“…To overcome the problem of inadequate osteogenesis, supplemental autologous bone graft was suggested for the clavicle nonunion in many studies. 9,11,14,20 In our study, autologous bone graft was not used, but "local bone grafting" from local callus, bone chips and reaming dust was performed. All the nonunions healed uneventfully, so this might mean that a "local bone graft" with refreshing the fracture/good bony contact/less periosteal stripping/good preservation of periosteal sleeve is sufficient to overcome the problem of inadequate osteogenesis in a nonunited mid-shaft clavicle fracture.…”

Modification of the Ilizarov External Fixator for Aseptic Hypertrophic Nonunion of the Clavicle

“…Those procedures are designed to reconstruct the length and have included intramedullary threaded pins, 10,16 transcortical fixation by locking Knowles pin, 9 interfragmentary screws, 9,18,29 open reduction, bone graft and internal fixation with a semitubular plate, 16 rigid fixation-dynamic compression plate-DCP, 2,17 and lately with a low contact dynamic compression plate-LC DCP. [6][7][8]15,[24][25][26][27] Vascularized fibula 28 and external fixation 4,11,12 also have been applied (Table 2).…”

Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw

“…[1][2][3][4][5] Various surgical procedures have been proposed for the treatment of this potentially disabling condition, including interfragmentary screws or wire sutures, 6,7 intramedullary pinning with Kirschner wires, [7][8][9] Knowles pins, 10 Steinmann pins, 11 modified Hagie pins, 12 external fixation, 13 and compression plate with or without bone grafting. 4,[14][15][16][17][18][19][20][21][22][23][24][25][26][27][28][29] We assessed an alternative technique for the treatment of midshaft non-union of the clavicle by using a Herbert cannulated bone screw to achieve open intramedullary fixation.…”