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Published in: Journal of Materials Engineering and Performance 4-5/2011

01-07-2011

Treatment of Clavicular Nonunions with Shape Memory Ni-Ti Alloy Swan-Like Bone Connector

Authors: Xin-wei Liu, Shuo-gui Xu, Pan-feng Wang, Chun-cai Zhang

Published in: Journal of Materials Engineering and Performance | Issue 4-5/2011

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Abstract

Disability caused by nonunited fracture of the clavicle is a rare condition that is expressed by local pain. This condition is usually treated by reduction of the fracture and stable fixation with augmentation by autogenous bone graft. This is a retrospective study to assess outcome of the treatment of clavicular nonunion with a novel shape memory Ni-Ti alloy swan-like bone connector (SMC). August, 2003 to December, 2006, 5 consecutive patients with clavicular nonunion were treated using SMC in our hospital. The SMC device was cooled with ice before implantation and then warmed to 40-50 °C after implantation, to produce balanced axial and compression forces that would stabilize the fracture. We have used cancellous bone grafting in all our cases to obtain solid healing. Average follow-up was 37 months (range 25-58). In all patients, satisfactory osseous union was achieved. There was no complication from the hardware. The average Constant score which is for evaluating function of injured shoulder after operation was 86 points (average Constant score for the unaffected shoulder was 95). All patients were very satisfied with the treatment and outcome. The SMC provides a new effective method for fracture fixation and treatment of bone nonunion for clavicle.

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Metadata
Title
Treatment of Clavicular Nonunions with Shape Memory Ni-Ti Alloy Swan-Like Bone Connector
Authors
Xin-wei Liu
Shuo-gui Xu
Pan-feng Wang
Chun-cai Zhang
Publication date
01-07-2011
Publisher
Springer US
Published in
Journal of Materials Engineering and Performance / Issue 4-5/2011
Print ISSN: 1059-9495
Electronic ISSN: 1544-1024
DOI
https://doi.org/10.1007/s11665-011-9863-x

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