Zusammenfassung
Die elastisch stabile intramedulläre Nagelung bei Klavikulafrakturen des mittleren Drittels ist ein sicheres Operationsverfahren bei Frakturen der Typen A und B nach der Orthopaedic-trauma-association- (OTA-)Klassifikation. Im vorliegenden Fall führten die Verwendung eines Kirschner-Drahts sowie die nicht korrekte Durchführung der Operationstechnik zu einer Pseudarthrose. Nach Revision und Anwendung eines elastischen Titannagels kam es zur knöchernen Ausheilung.
Abstract
Elastically stable intramedullary nailing is a safe surgical procedure used to treat mid-shaft clavicular fractures of types A and B according to the Orthopaedic Trauma Association (OTA) classification. In the case reported intramedullary fixation with a Kirschner wire and an incorrectly performed surgical technique led to pseudoarthrosis (non-union). After revision surgery with an elastically stable titanium nail and a correct surgical technique, fracture healing was achieved.
Literatur
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Faymonville, C., Jubel, A. & Schiffer, G. Pseudarthrose nach intramedullärer Nagelung der Klavikula mit einem Stahl-Kirschner-Draht. Unfallchirurg 113, 326–329 (2010). https://doi.org/10.1007/s00113-009-1721-z
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DOI: https://doi.org/10.1007/s00113-009-1721-z