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Clin Orthop Surg. 2013 Dec;5(4):327-33. doi: 10.4055/cios.2013.5.4.327. Epub 2013 Nov 18.

Biologic fixation through bridge plating for comminuted shaft fracture of the clavicle: technical aspects and prospective clinical experience with a minimum of 12-month follow-up.

Author information

1
Department of Orthopaedic Surgery, Kosin University Gospel Hospital, Busan, Korea.

Abstract

For comminuted shaft fracture of clavicle, the operative goal, aside from sound bone healing without complications of direct reduction, is maintenance of the original length in order to maintain the normal biomechanics of adjacent joint. Our bridge plating technique utilizing distraction through a lumbar spreader was expected to be effective for restoring clavicular length with soft tissue preservation. However, there are two disadvantages. First, there is more exposure to radiation compared to conventional plating; and second, it is difficult to control the rotational alignment. Despite these disadvantages, our technique has important benefits, in particular, the ability to preserve clavicular length without soft tissue injury around the fracture site.

KEYWORDS:

Biologic fixation; Bridge plating; Clavicle; Communited fracture; Shaft fracture

PMID:
24340154
PMCID:
PMC3858087
DOI:
10.4055/cios.2013.5.4.327
[Indexed for MEDLINE]
Free PMC Article
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