当院における鎖骨骨折の検討

抄録

Intramedullary fixation for surgical treatment of clavicular fractures is the most popular method for treating fractures of the outer-middle third curvature of the clavide. We reviewed fifty-four cases out of eighty-nine treated surgically at our hospital during the past rive years. Of these, three were fixed using a plate and screws, seven received transcutaneous pinning using K-Wires, twenty-two with K-U screws and seventeen with a Steinmann pin including our modified type. Bone union occurred in all except one case of delayed union. This delay was considered to be due to K-U screw rupture and the patient's poor compliance.
We began using our modified steinmann type of pin rather than the other methods of fixation in 1992, and concluded that the advantages of using the Steinmann pin were a shorter operation time, less operative trauma and less fluoroscopy.