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Additional fixation using a metal plate with bioresorbable screws and wires for robinson type 2B clavicle fracture

Clinics in Shoulder and Elbow 2020년 23권 4호 p.205 ~ 209
신우진, 정영우, 김선도, 안기용,
소속 상세정보
신우진 ( Shin Woo-Jin ) - Gwangju Veterans Hospital Department of Orthopedic Surgery
정영우 ( Chung Young-Woo ) - Gwangju Veterans Hospital Department of Orthopedic Surgery
김선도 ( Kim Seon-Do ) - Gwangju Veterans Hospital Department of Orthopedic Surgery
안기용 ( An Ki-Yong ) - Gwangju Veterans Hospital Department of Orthopedic Surgery

Abstract


Simple clavicle fractures can achieve satisfactory results through conservative treatment, and the less frequency of nonunion. Non-union or malunion can occur in displaced clavicle fractures or comminuted shaft fractures. Treatment of displaced comminuted clavicle shaft fractures is performed by holding together the free fragments with interfragmentary screws or wires and fixing them to the clavicle with a plate. Therefore, we performed interfragmentary fixation using open reduction and internal fixation with bioresorbable screws (Mg-Ca alloy, Resomet bioresorbable bone screw; U&I Corp.) and bioresorbable wires (Mg-Ca alloy, Resomet bioresorbable K-wire and pin, U&I Corp.) for displaced comminuted clavicle fractures (Robinson type 2B) and additionally used a metal plate. We expected decreased irritation and infection due to absorption after surgery. We report four cases that were treated in this way.

키워드

Clavicle; Midshaft fracture; Comminuted fracture; Interfragmentary screw; Bioresorbable screw

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