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ORIGINAL ARTICLE
Year : 2021  |  Volume : 13  |  Issue : 2  |  Page : 86-89

Is intramedullary K-wire fixation still indicated in treatment midshaft clavicle fractures without comminution?


Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University, Mansoura, Egypt

Correspondence Address:
Dr. Medhat Tawfik Maaty
Department of Orthopedic Surgery, Faculty of Medicine, Mansoura University, Mansoura
Egypt
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jotr.jotr_43_18

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Background: Middle third clavicle fractures consist of up to 85% of clavicle fractures. Intramedullary (IM) fixation devices can be accomplished with less soft tissue dissection, more cosmetic incisions, and they may permit callus formation due to the relative stability with a different complication profile from plate fixation. Patients and Methods: Between July 2013 and November 2015, 25 patients presented by fracture midshaft clavicle without comminution were treated at our institution by minimal invasive retrograde IM k-wires. Results: The fractures union ranged from 12 to 16 weeks both clinically and radiologically. The results were excellent in 21 patients (84%) and good in 3 patients (12%). One (4%) had a poor result. All patients returned to their preinjury activities and jobs or sports activities. Conclusions: Surgical treatment of midshaft clavicle fracture without comminution through minimal invasive retrograde IM k-wire fixation improved the results and compared favorably with other techniques.


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