Management of clavicular non-union with plate fixation and bone grafting

A Prospective Study of Fracture Nonunion of Clavicle Managed by Internal Fixation With or Without Bone Grafting

“…14 Achieving rotational control of the middle-third of the clavicle is more difficult with intramedullary device alone, particularly if associated with bone loss. 10 Lot of reports support the findings of our current study. Excellent rates of union have been reported after plating with or without grafting by many authors.…”

“…14 Achieving rotational control of the middlethird of the clavicle is more difficult with intramedullary device alone, particularly if associated with bone loss. 10 Excellent rates of union have been reported after plating and grafting by many authors. 5,6,7,16,17,18,19,20, Advantages over intramedullary fixation are improved rotational stability, ability to incorporate an intercalary graft and no fear of implant migration.…”

“…1 Several factors predispose to nonunion of the clavicle like inadequate conservative treatment and immobilisation, severity of trauma and fracture comminution 7,8 , re-fracture, distal-third fracture 1,9 , marked displacement or shortening of >2 cms, soft-tissue interposition, and primary open reduction. 10,11 Nonunion can be either atrophic or hypertrophic type. Atrophic type is more common.…”