Abstract
Aims: Developing a new effective method of clavicle osteosynthesis.
Methods: The K-wire is inserted along bone fragments (and bone autograft – in case of clavicle defect). Then K-wire is fixed near the breast-bone with the curved or threaded lug. External end of K-wire is strained in external fixation module. When having fracturing console pin with lug is inserted in acromion of frontal plane and is connected to K-wire with short bar. In cases of non-unions and defects two K-wire are inserted (through coracoid and acromion) sagittally. Both of them are strained in half-ring. The K-wire inserted along bone fragments is strained in half-ring (Patent of RF # 1657168).
Results: 238 patients were treated by CoSF: 222 with fractures, 11 – with non-unions, 5 – with defects of clavicle. Complete restoration of shoulder function during of fixation period was registered in 86,1% patients (p< 0,001). Analysis has shown that the main reason of join stiffness were delayed operation. 13,6% of patients have been operated in more than two weeks the injury had occurred, when the contracture already appeared. Pin-tract infection were arised in 3,4% cases, pin-tract osteomyelitis – in 1% cases.
Conclusions: Good and excellent results proved prospective of CoSF as well as improving this method.
Theses abstracts were prepared by Professor Roger Lemaire. Correspondence should be addressed to EFORT Central Office, Freihofstrasse 22, CH-8700 Küsnacht, Switzerland.
