The Journal of the Chugoku-Shikoku Orthopaedic Association
Online ISSN : 1347-5606
Print ISSN : 0915-2695
ISSN-L : 0915-2695
Treatment of Fractures of the Clavicle a Clinical Follow-up Study
Toru AIZAWAKeisuke ADACHIKeiji HARADAHiroyuki HASHIMOTO
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1999 Volume 11 Issue 1 Pages 147-151

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Abstract
The purpose of this follow-up study was to compare the efficacy of our new treatment for fractures of the clavicle with the standard Yasunaga method and conservative therapy. Our new treatment involves the techniques of closed reduction and internal fixation based on the anatomical structure of the clavicle and uses Kirschner wire (1.8mm in diameter) bent into a hook at a distance of about 10mm from the tip. This method involves no special instruments or techniques. Of the 32 patients studied, 5 received our new treatment, 9 received the standard Yasunaga method (straight Kirschner wire with a diameter of 2.4mm), and 18 received conservative therapy. Our technique obtained good anatomical reduction and there were no cases of non-union or infection. Results indicate that this method is an effective treatment for fractures of the clavicle and offers significant advantages over both the standard Yasunaga method and conservative therapy.
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