Non-union of fractures of the mid-shaft of the clavicle. Treatment with a modified Hagie intramedullary pin and autogenous bone-grafting

J Bone Joint Surg Am. 1991 Sep;73(8):1219-26.


We reviewed a series of fifty patients who had a non-union of a fracture of the clavicle. Twenty-one patients (42 per cent) who had a symptomatic non-union of the middle of the shaft of the clavicle were treated with open reduction, internal fixation with a modified Hagie intramedullary pin, and autogenous bone-grafting, and those patients form the basis for the report. The average duration of follow-up was thirty-five months (range, five months to eleven years). Healing occurred in twenty (95 per cent) of the twenty-one patients. Intramedullary fixation has several advantages compared with other treatments, such as fixation with a plate and screws. It can be performed through a cosmetically acceptable incision in the Langer line; less dissection of the soft tissues is needed; and, after healing, the pin can be removed through a small incision under local anesthesia.

MeSH terms

  • Adult
  • Bone Transplantation*
  • Clavicle / diagnostic imaging
  • Clavicle / injuries*
  • Clavicle / surgery
  • Female
  • Fracture Fixation, Intramedullary / methods*
  • Fractures, Ununited / diagnostic imaging
  • Fractures, Ununited / surgery*
  • Humans
  • Male
  • Middle Aged
  • Radiography
  • Transplantation, Autologous