J Korean Fract Soc.  2004 Oct;17(4):328-332. 10.12671/jkfs.2004.17.4.328.

Intramedullary Fixation of Clavicle Fracture Percutaneously Reduced By Towel Clip

• Hong KD
• Ha SS
• Chung NS
• Sim JC
• Kim GH

• KMID: 2015368
• DOI: http://doi.org/10.12671/jkfs.2004.17.4.328

Abstract

PURPOSE: To investigate the utility of surgical treatment of clavicle shaft fracture using a percutaneous towel clip reduction and intramedullary fixation.
MATERIALS AND METHODS
This study was conducted for total 16 cases of patients who had no neurovascular injury and a few comminuted bone fragment among patients with clavicle shaft fracture from January 2002 to July 2003. The method of operation was percutaneous towel clip reduction and intramedullary fixation. The clinical and radiological results were evaluated.
RESULTS
Radiologically, 15 cases showed bone unions and the average time was 9.1 weeks. According to Kang's criteria clinically, there were 14 cases which were more than an excellence. One case substituted open reduction and nailing fixation due to a medial migration of K-wire and re- displacement of fracture even in 1 week. However, there wasn't any other major complication.
CONCLUSION
Due to its having no additional injury to soft tissues, no scar formations, and its short operation time, percutaneous towel clip reduction and intramedullary fixation will be very useful as one of the treatments of clavicular shaft fracture if it follows correct surgical indications.

Keyword

Clavicle; Shaft fracture; Percutaneous towel clip reduction; Intramedullary fixation

MeSH Terms

Cicatrix
Clavicle*
Humans