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

Purpose. To assess an alternative technique for the treatment of midshaft non-unions of the clavicle. Methods. Five patients with symptomatic non-unions of the clavicle were treated with open reduction and intramedullary fixation by using a Herbert cannulated bone screw. Autogenous bone grafting was...

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Main Authors: IR Proubasta, JP Itarte, CG Lamas, E Cáceres
Format: Article
Language:English
Published: SAGE Publishing 2004-06-01
Series:Journal of Orthopaedic Surgery
Online Access:https://doi.org/10.1177/230949900401200113
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author IR Proubasta
JP Itarte
CG Lamas
E Cáceres
author_facet IR Proubasta
JP Itarte
CG Lamas
E Cáceres
author_sort IR Proubasta
collection DOAJ
description Purpose. To assess an alternative technique for the treatment of midshaft non-unions of the clavicle. Methods. Five patients with symptomatic non-unions of the clavicle were treated with open reduction and intramedullary fixation by using a Herbert cannulated bone screw. Autogenous bone grafting was applied in one case and decortication in the other 4 cases. Results. Review of the clinical and radiological documentation at a mean time of 13 months (range, 9–26 months) postoperatively shows that union was achieved in all 5 cases. There were no complications related to the operation, and no patient needed removal of the implant for protrusion, loosening, or any other cause. Conclusion. Midshaft non-unions of the clavicle can be treated successfully using the Herbert cannulated bone screw, which avoids the need for a second operation to remove the implant after bone union.
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spelling doaj.art-86337f39a46e43359d2338ba3dfd54ff2022-12-21T23:11:25ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902004-06-011210.1177/230949900401200113Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone ScrewIR ProubastaJP ItarteCG LamasE CáceresPurpose. To assess an alternative technique for the treatment of midshaft non-unions of the clavicle. Methods. Five patients with symptomatic non-unions of the clavicle were treated with open reduction and intramedullary fixation by using a Herbert cannulated bone screw. Autogenous bone grafting was applied in one case and decortication in the other 4 cases. Results. Review of the clinical and radiological documentation at a mean time of 13 months (range, 9–26 months) postoperatively shows that union was achieved in all 5 cases. There were no complications related to the operation, and no patient needed removal of the implant for protrusion, loosening, or any other cause. Conclusion. Midshaft non-unions of the clavicle can be treated successfully using the Herbert cannulated bone screw, which avoids the need for a second operation to remove the implant after bone union.https://doi.org/10.1177/230949900401200113
spellingShingle IR Proubasta
JP Itarte
CG Lamas
E Cáceres
Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
Journal of Orthopaedic Surgery
title Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
title_full Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
title_fullStr Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
title_full_unstemmed Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
title_short Midshaft Clavicular Non-Unions Treated with the Herbert Cannulated Bone Screw
title_sort midshaft clavicular non unions treated with the herbert cannulated bone screw
url https://doi.org/10.1177/230949900401200113
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