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. 2003 Jan 28;27(3):131–135. doi: 10.1007/s00264-002-0424-7

Operative treatment of mid-shaft clavicular non-union

R K Marti 1, P A Nolte 1,✉, G M M J Kerkhoffs 1, P P Besselaar 1, G R Schaap 1
PMCID: PMC3458453  PMID: 12799754

Abstract

Between 1974 and 1999, we treated operatively 28 patients with a symptomatic mid-shaft clavicular non-union using AO osteosynthesis, including bone grafting. Nine patients had a wave-plate osteosynthesis and 19 a standard AO/ASIF osteosynthesis. The mean follow-up was 10 (2–25) years. All but one non-union showed full bony consolidation. Pre-operatively, brachialgia was present in 12 patients. Of these patients, six were treated using standard osteosynthesis technique and six by wave-plate osteosynthesis. Post-operatively, patients treated by wave-plate osteosynthesis had no brachialgia and also had a higher Constant score than those patients treated using standard AO/ASIF techniques.

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Acknowledgements

We would like to thank A.B. Stibbe, M.D., orthopaedic surgeon, for his work on the treatment of clavicular non-union, and also the AO Documentation Centre.

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