title: Ununited fractures of the clavicle.
abstract: We reviewed the cases of thirty-three patients with non-union of a clavicular fracture. The patients who seemed to have a predilection to non-union were seven who had sustained a refracture and twenty-one who had had severe trauma. Eleven patients had an atrophic non-union, and these lesions were less symptomatic than the hypertrophic non-unions in the series. Only three of the eleven patients with an atrophic non-union had an operation, compared with sixteen of the twenty-two patients with a hypertrophic non-union. The results in the nineteen patients who underwent the various surgical procedures (twenty-five operations) showed that the most successful procedure was internal fixation and bone-grafting. Even though union was achieved in twelve patients who were surgically treated, mild to moderate symptoms persisted in some.
mesh_terms: D000293:Adolescent; D000328:Adult; D016025:Bone Transplantation; D002968:Clavicle / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal; D005599:Fractures, Ununited / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged