Open Access, Peer-reviewed, Quarterly
pISSN 1225-1682
eISSN 2287-9293
    J Korean Fract Soc. 2012 Jan;25(1):31-37. Korean.
    Published online Jan 31, 2012.
    https://doi.org/10.12671/jkfs.2012.25.1.31
    Copyright © 2012 The Korean Fracture Society
    Original Article

    Surgical Techniques for Percutaneous Reduction by Towel Clips and Percutaneous Intramedullary Fixation with Steinmann Pins for Clavicle Shaft Fractures

    Ki-Do Hong, M.D., Jae-Chun Sim, M.D., Sung-Sik Ha, M.D., Tae-Ho Kim, M.D., Jong-Hyun Kim, M.D. and Jong-Seong Lee, M.D.
      • Department of Orthopedic Surgery, Sahmyook Medical Center, Seoul, Korea.
    • Address reprint requests to: Jae-Chun Sim, M.D. Department of Orthopedic Surgery, Sahmyook Medical Center, 29-1, Hwigyoung 2-dong, Dongdaemun-gu, Seoul 130-711, Korea. Tel: 82-2-2210-3581, Fax: 82-2-2217-1897, Email: kjh2789@hanmail.net
    Received October 02, 2011; Revised November 07, 2011; Accepted December 05, 2011.

    This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

    Abstract

    Purpose

    To report the clinical results of surgical treatment of clavicle shaft fracture by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation.

    Materials and Methods

    This study reviewed the results of 80 cases of clavicle shaft fracture treated by percutaneous reduction with towel clips and percutaneous intramedullary pin fixation with Steinmann pins from January 2002 to August 2010, after follow-up for 12 months or more. We evaluated the clinical results, such as union time and complications.

    Results

    Bone union was evident in all cases and the mean time for bone union to appear on radiological findings was 10.3 weeks. Using Kang's criteria, 78 of the 80 patients (97.5%) showed good results and there were no severe complications.

    Conclusion

    Percutaneous reduction with towel clips and the percutaneous intramedullary pin fixation method showed good results for treating clavicle shaft fracture.

    Keywords
    Clavicle shaft fracture; Reduction with towel clip; Percutaneous intramedullary pin fixation

    Figures

    Fig. 1
    The picture and the radiograph shows the percutaneous insertion of Steinmann pin into the intramedullary canal under the fluoroscopic guidance from the fracture side to the medial end.

    Fig. 2
    The picture and the radiograph shows reduction of the clavicle fracture with towel clip.

    Fig. 3
    The picture and the radiograph shows retrograde reinsertion of Steinmann pin after reduction of the fracture site under the fluoroscopic guide.

    Fig. 4
    The picture shows bending the remnant part of Steinmann pin.

    Fig. 5
    (A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1

    (B) Immediate postoperative radiograph shows well reducted clavicle with percutaneous Steinmann pin fixation.

    (C) Postoperative 12 weeks radiograph shows bone union.

    Fig. 6
    (A) Preoperative 3D computerized tomography shows displaced clavicle shaft fracture with double butterfly fragment as Robinson classification type 2B2.

    (B) Immediate postoperative radiograph shows well reducted clavicle fracture with double butterfly fragments with Steinmann pin.

    (C) Postoperative 12 weeks radiograph shows complete bone union with butterfly fragments and complete remodeling of clavicle fracture.

    Fig. 7
    (A) The radiograph shows the displaced clavicle shaft fracture as Robinson classification type 2B1.

    (B) The radiograph shows the bended Steinmann pin due to slip down on 2 weeks after operation.

    (C) Postoperative 12 weeks radiograph shows bone union and remodeling without any other procedure.

    Tables

    Table 1
    Robinson classification of fractures

    Table 2
    Union time of the fracture

    Table 3
    Fractures for evaluation of results and clinical scoring system by Kang et al

    Table 4
    Complications

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    MeSH Terms
    Clavicle
    Follow-Up Studies
    Humans
    Metrics
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