title: [Treatment of comminuted clavicle shaft fractures with provisional intra-medullary K-wire fixation and bridging plate internal fixation].
abstract: OBJECTIVE
  To discuss the operation effect of comminuted clavicle shaft fractures with provisional intramedullary K-wire fixation and bridging plate internal fixation.
  
  
  METHODS
  From Mar. 2008 to Jul. 2012, 22 cases of comminuted clavicle shaft fractures was treated with open reduction, and provisional intramedullary K-wire fixation and bridging plate internal fixation. The fracture healing was investigated through X-rays. The 22 cases were followed up to evaluate the function of the affected shoulder with Constant score.
  
  
  RESULTS
  Through the follow-up for average 15 months, all the fractures healed and the average healed time was 14.6 weeks. The average Constant score of the affected shoulder was 95.3. There were 13 excellent cases, 7 good cases, and 2 fair cases. The fineness rate was 90.9% (20/22). Soft tissue problem resulting from plate tilting occurred in 2 cases. At last, they accepted second operation to remove the implant.
  
  
  CONCLUSIONS
  Applying provisional intramedullary K-wire fixation and bridging plate internal fixation in comminuted clavicle shaft fractures, makes procedure simple, improves healing rate and decreases the complications.
authors.affiliation: Department of Trauma and Orthopeadics, Peking University People's Hospital; Peking University Traffic Medicine Center, Beijing 100044, China.
authors.forename: Ming
authors.initials: M
authors.lastname: Yang
authors.forename: Dian-Ying
authors.initials: DY
authors.lastname: Zhang
authors.forename: Tian-Bing
authors.initials: TB
authors.lastname: Wang
authors.forename: Zhong-Guo
authors.initials: ZG
authors.lastname: Fu
authors.forename: Pei-Xun
authors.initials: PX
authors.lastname: Zhang
authors.forename: Meng
authors.initials: M
authors.lastname: Guo
authors.forename: Jian
authors.initials: J
authors.lastname: Xiong
authors.forename: Bao-Guo
authors.initials: BG
authors.lastname: Jiang
mesh_terms: D000328:Adult; D000368:Aged; D001860:Bone Plates; D001864:Bone Wires; D002968:Clavicle / Q000293:injuries* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D005594:Fracture Fixation, Intramedullary / Q000295:instrumentation / Q000379:methods; D050723:Fractures, Bone / Q000601:surgery*; D018460:Fractures, Comminuted / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome; D055815:Young Adult