Rushpin fixation for midshaft clavicular nonunions Good: Results in 13/14 cases

Enneking, Tom J M Q; Hartlief, Marianne T; Fontijne, W J Peter

doi:10.3109/17453679909000991

Cited by 39 publications

(27 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Midshaft clavicular fractures are usually treated conservatively, and some may require internal fixation [1][2][3][4][5]. Plate fixation has many advantages, including excellent control of rotation and ability to restore the normal length of the clavicle.…”

Section: Discussionmentioning

confidence: 99%

“…There have been many reports [4,[6][7][8][9][10][11][17][18][19][20]] addressing intramedullary fixation with wires and pins. Nearly the same high rates of union and low disability scores were recorded [6][7][8]11], but these methods lack two main features which are fulfilled in our study.…”

Section: Discussionmentioning

confidence: 99%

“…Other relative indications include cases with polytrauma, shortening or displacement more than 20 mm, impending skin disruption, inability of the patient to tolerate prolonged conservative treatment, and symptomatic non-union [3][4][5][6]. Surgical procedures include intramedullary pinning with Kirschner wires [7,8], Rush pins [4], Knowles pins [6], Steinmann pins [9], Hagie pins [10], elastic stable intramedullary nails [11], external fixation [12], and compression plating [13]. Each method has its own merits.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Intramedullary screw fixation for midshaft fractures of the clavicle

Khalil

2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Open intramedullary fixation of 37 fresh midshaft clavicular fractures in 35 patients was performed using a 6.5 partially threaded cancellous screw. Mean age was 38 years (range 18-65). The screw was inserted from the medial fragment after retrograde drilling of that fragment. Average follow-up period was 21 months (range 9-36). Radiological evidence of union was apparent in all cases within six to eight weeks after surgery (mean 7.8). Two cases had intraoperative failure of fixation, nine complained of subcutaneous prominence of the screw head, five experienced decreased sensation over the site of incision, and three had symptoms of frozen shoulder. In conclusion, the technique is simple, affordable and it does not require special instrumentation or implants. It allows intramedullary compression, stability, stress sharing, minimal periosteal stripping, and early recovery after surgery.Résumé Fixation intramédullaire des fractures diaphysaires de la clavicule. 37 fractures de la partie médiophysaire de la clavicule chez 35 patients ont été traitées par une fixation intramédullaire par voie ascendante, en utilisant une vis spongieuse, de diamètre 6,5. L'âge moyen des patients était de 38 ans (entre 18 et 65). La vis a été insérée à partir du fragment interne après mêchage rétrograde. Le suivi moyen a été de 21 mois (entre 9 et 36 mois). Une consolidation radiologique a été effectuée dans tous les cas à partir de 6 à 8 semaines après l'intervention (moyenne de 7,8 semaines). 2 cas ont présenté un défaut de fixation peropératoire et 9 patients se plaignaient d'une gène secondaire à la proéminence de la vis, 5 de sensations désagréables au niveau de l'incision et 3 avaient des signes d'épaules gelées. En conclusion, cette technique simple et abordable ne nécessite pas d'instrumentation particulière, ni d'implants particuliers et permet une compression intramédullaire avec une bonne stabilité, une bonne répartition des contraintes et d'un dépériostage à minimum ainsi qu'une récupération rapide après l'intervention.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Intramedullary screw fixation for midshaft fractures of the clavicle

Khalil

2009

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Pins and wires (Ngarmukos et al 1998, Enneking et al 1999) may migrate (Lyons and Rockwood 1990, Liu et al 1993, Leppilahti and Jalovaara 1999 and plate xation has caused several complications, including infection, plate breakage, nonunion and refracture after plate removal (Böstman et al 1997).…”

Section: Discussionmentioning

confidence: 99%

Fixation of mid-third clavicular fractures with Knowles pins: 78 patients followed for 2-7 years

Chu¹,

Wang²,

Lin³

2002

Acta Orthopaedica Scandinavica

View full text Add to dashboard Cite

“…Threaded Steinmann pin, Rush pin, Kirschner wire, cancellous screw etc. had also been reported over time as an intra-medullary fixation device with relative pros and cons [13][14][15][16].…”

Section: Author's Contributionsmentioning

confidence: 99%