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Anteroinferior Plating of Midshaft Clavicular Nonunions

2002; Lippincott Williams & Wilkins; Volume: 16; Issue: 6 Linguagem: Inglês

10.1097/00005131-200207000-00011

1531-2291

Peter Kloen, Anthony T. Sorkin, Iván Federico Rubel, David L. Helfet,

Shoulder Injury and Treatment

Many different techniques have been reported for the treatment of clavicular nonunions. Those techniques involving screws and plate generally position the plate on the superior (subcutaneous) surface of the clavicle. To decrease the risk of screw pull-out and prominence of the instrumentation, we currently perform anteroinferior plating using a 3.5-millimeter pelvic reconstruction plate with a lag screw and bone graft. A consecutive group of twelve patients with midshaft clavicular nonunions was treated with this technique. All nonunions united after an average of 3.6 months (range 2 to 8 months). All patients regained full function and mobility of the shoulder. The technique as described in this article illustrates a successful modification of the traditional plating technique of midshaft clavicular nonunions. We conclude that anteroinferior plating is a reliable and safe technique that leads to high rates of bony union in midshaft clavicular nonunions.