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- Emmanuele Santolini, Marco Stella, Francesca Sanguineti, Lamberto Felli, and Federico Santolini.
- Academic Unit of Trauma and Orthopaedics, University of Genoa, Ospedale Policlinico San Martino, Largo R. Benzi 10, 16132, Genoa, Italy. Electronic address: e.santolini@me.com.
- Injury. 2018 Dec 1; 49 Suppl 4: S34-S38.
AbstractThe management of distal clavicle nonunion represents a challenging task for orthopaedic trauma surgeon. Both the choice of the implant and whether a bone graft is needed are controversial points which must be addressed. Particularly, in the case of a hypertrophic nonunion, grafting may not necessarily be needed, but given a poor underlying biological environment, a bone graft becomes necessary in order to enhance fracture healing. We report the case of a 62-year-old patient who came to us with a hypertrophic nonunion of the left distal clavicle. She was initially treated with a hook plate without bone grafting. After an early peri-implant fracture she was treated again with anatomical S-shaped locking plate associated with autologous cancellous bone graft.Copyright © 2018 Elsevier Ltd. All rights reserved.
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