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Midshaft clavicular non-unions treated with the Herbert cannulated bone screw Proubasta IR; Itarte JP; Lamas CG; Caceres EJ Orthop Surg (Hong Kong) 2004[Jun]; 12 (1): 71-5PURPOSE: 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.|*Bone Screws[MESH]|Adolescent[MESH]|Adult[MESH]|Clavicle/diagnostic imaging/*injuries[MESH]|Equipment Design[MESH]|Equipment Safety[MESH]|Female[MESH]|Follow-Up Studies[MESH]|Fracture Fixation, Internal/*instrumentation/methods[MESH]|Fracture Healing/physiology[MESH]|Fractures, Ununited/diagnostic imaging/*surgery[MESH]|Humans[MESH]|Injury Severity Score[MESH]|Male[MESH]|Middle Aged[MESH]|Radiography[MESH]|Sampling Studies[MESH]|Treatment Outcome[MESH] |
