The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study
Abstract Background The objective of this study is to assess prospectively the effectiveness of double-plate fixation combined with autogenous cancellous bone graft in the treatment for the atrophic clavicular nonunion. Methods Between February 2013 and November 2017, a total of 12 patients with atr...
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| Format: | Article |
| Language: | English |
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BMC
2021-01-01
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| Series: | Journal of Orthopaedic Surgery and Research |
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| Online Access: | https://doi.org/10.1186/s13018-020-02154-y |
| _version_ | 1811182711848566784 |
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| author | Jun Zhang Peng Yin Bo Han Jianmin Zhao Bo Yin |
| author_facet | Jun Zhang Peng Yin Bo Han Jianmin Zhao Bo Yin |
| author_sort | Jun Zhang |
| collection | DOAJ |
| description | Abstract Background The objective of this study is to assess prospectively the effectiveness of double-plate fixation combined with autogenous cancellous bone graft in the treatment for the atrophic clavicular nonunion. Methods Between February 2013 and November 2017, a total of 12 patients with atrophic clavicular nonunion (mean age, 40.4 ± 9.0 years, range, 27–60 years) were treated by double-plate fixation with autogenous cancellous bone graft in our institute. The Constant Score System was used to evaluate the preoperative and final outcomes. The Short Form-36 (SF-36) outcome questionnaire was used to assess the final clinical results. Results All patients were followed-up, with the average follow-up of 34.7 ± 6.7 months (range, 24–48 months). The healing rate was 100% in our study. The mean time of bony union was 9 weeks (range, 8–10 weeks). One patient had a postoperative superficial infection, and the patient was cured by oral antibiotics and wound dressing. No implant-related complications (plate-screw loosening or breakage) were observed postoperatively. No vascular injury, neural impairment, or thoracic outlet syndrome was discovered preoperatively or postoperatively. There is a statistical significance between the preoperative and the postoperative constant scores (P < 0.05). All the patients were satisfied with their final clinical results by SF-36 outcome questionnaire. Average scores of the physical function and bodily pain components of the SF-36 were 94.2 ± 7.3 and 92.5 ± 5.8, respectively. Conclusion Our results presented that double-plate fixation with autogenous cancellous bone graft is an effective treatment for atrophic clavicular nonunion, especially for those with a significant bone defect. |
| first_indexed | 2024-04-11T09:36:25Z |
| format | Article |
| id | doaj.art-34cc808cf23b4392b83e0152cf9aacfd |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-04-11T09:36:25Z |
| publishDate | 2021-01-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-34cc808cf23b4392b83e0152cf9aacfd2022-12-22T04:31:38ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2021-01-011611610.1186/s13018-020-02154-yThe treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective studyJun Zhang0Peng Yin1Bo Han2Jianmin Zhao3Bo Yin4Department of Orthopaedics, The affiliated Hospital of Inner Mongolia Medical UniversityDepartment of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical UniversityDepartment of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical UniversityDepartment of Orthopaedics, The affiliated Hospital of Inner Mongolia Medical UniversityDepartment of Orthopaedics, Beijing Chao-Yang Hospital, China Capital Medical UniversityAbstract Background The objective of this study is to assess prospectively the effectiveness of double-plate fixation combined with autogenous cancellous bone graft in the treatment for the atrophic clavicular nonunion. Methods Between February 2013 and November 2017, a total of 12 patients with atrophic clavicular nonunion (mean age, 40.4 ± 9.0 years, range, 27–60 years) were treated by double-plate fixation with autogenous cancellous bone graft in our institute. The Constant Score System was used to evaluate the preoperative and final outcomes. The Short Form-36 (SF-36) outcome questionnaire was used to assess the final clinical results. Results All patients were followed-up, with the average follow-up of 34.7 ± 6.7 months (range, 24–48 months). The healing rate was 100% in our study. The mean time of bony union was 9 weeks (range, 8–10 weeks). One patient had a postoperative superficial infection, and the patient was cured by oral antibiotics and wound dressing. No implant-related complications (plate-screw loosening or breakage) were observed postoperatively. No vascular injury, neural impairment, or thoracic outlet syndrome was discovered preoperatively or postoperatively. There is a statistical significance between the preoperative and the postoperative constant scores (P < 0.05). All the patients were satisfied with their final clinical results by SF-36 outcome questionnaire. Average scores of the physical function and bodily pain components of the SF-36 were 94.2 ± 7.3 and 92.5 ± 5.8, respectively. Conclusion Our results presented that double-plate fixation with autogenous cancellous bone graft is an effective treatment for atrophic clavicular nonunion, especially for those with a significant bone defect.https://doi.org/10.1186/s13018-020-02154-yUnunited fracturesClavicleInternal fixatorsBone transplantation |
| spellingShingle | Jun Zhang Peng Yin Bo Han Jianmin Zhao Bo Yin The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study Journal of Orthopaedic Surgery and Research Ununited fractures Clavicle Internal fixators Bone transplantation |
| title | The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study |
| title_full | The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study |
| title_fullStr | The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study |
| title_full_unstemmed | The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study |
| title_short | The treatment of the atrophic clavicular nonunion by double-plate fixation with autogenous cancellous bone graft: a prospective study |
| title_sort | treatment of the atrophic clavicular nonunion by double plate fixation with autogenous cancellous bone graft a prospective study |
| topic | Ununited fractures Clavicle Internal fixators Bone transplantation |
| url | https://doi.org/10.1186/s13018-020-02154-y |
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