Limits...
Modified Lautenbach technique in the treatment of an open infected non-union of the clavicle--a case report.

Johnson B, Thomas P, McClelland D - Acta Orthop (2012)

View Article: PubMed Central - PubMed

Affiliation: The Trauma and Orthopaedic Department, University Hospital of North Staffordshire, Stoke on Trent, UK. bjohnso25@yahoo.co.uk

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The Lautenbach technique, the use of a closed double-lumen suction irrigation system, generally involves intramedullary placement of the irrigation tubes... At 6 months postoperatively, he had regained full motion in his shoulder and radiographs showed union of the fracture (Figure 5) Deep infection after internal fixation of clavicle fractures is associated with a poor rate of union and poor functional outcome. described 1 deep infection in 232 plated clavicle fractures. reported 8 infections in 103 cases treated with plate fixation. 5 of these were deep infections... Deep infections following open reduction and internal fixation of clavicle fractures will become more common, as a greater proportion of clavicle fractures are being treated surgically... It also allows obliteration of the dead space created by soft tissue and bone debridement... There have been no previous publications in which the Lautenbach technique has been used in the management of infected non-unions of the clavicle... We used a modified Lautenbach technique, as the clavicle cannot be reamed in the same way as the tibia and femur to accommodate the irrigation tubes, which are traditionally inserted in an intramedullary fashion... Instead, the end of the double-lumen suction irrigation system was placed at the fracture site, allowing local delivery of antibiotics and antithrombotic agents. and used the suction irrigation system for approximately 3 weeks... We removed the double-lumen tube on day 7, as the inflammatory markers had markedly improved and the patient was suitable for discharge with appropriate oral antibiotic treatment... Deep infection of the clavicle will become increasingly common, as clavicle fractures are more often being treated by open reduction and internal fixation... We believe that the use of a modified Lautenbach system in conjunction with external fixation may be of value in the management of infected clavicle non-unions.

Show MeSH

Related in: MedlinePlus

Radiograph of the clavicle 3.5 months after application of the external fixator, showing callus formation at the fracture site.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3369162&req=5

Figure 4: Radiograph of the clavicle 3.5 months after application of the external fixator, showing callus formation at the fracture site.

Mentions: The external fixator was removed 3.5 months after it was applied. Clinically and radiographically, the fracture had united (Figure 4). At 6 months postoperatively, he had regained full motion in his shoulder and radiographs showed union of the fracture (Figure 5)


Modified Lautenbach technique in the treatment of an open infected non-union of the clavicle--a case report.

Johnson B, Thomas P, McClelland D - Acta Orthop (2012)

Radiograph of the clavicle 3.5 months after application of the external fixator, showing callus formation at the fracture site.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3369162&req=5

Figure 4: Radiograph of the clavicle 3.5 months after application of the external fixator, showing callus formation at the fracture site.
Mentions: The external fixator was removed 3.5 months after it was applied. Clinically and radiographically, the fracture had united (Figure 4). At 6 months postoperatively, he had regained full motion in his shoulder and radiographs showed union of the fracture (Figure 5)

View Article: PubMed Central - PubMed

Affiliation: The Trauma and Orthopaedic Department, University Hospital of North Staffordshire, Stoke on Trent, UK. bjohnso25@yahoo.co.uk

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

The Lautenbach technique, the use of a closed double-lumen suction irrigation system, generally involves intramedullary placement of the irrigation tubes... At 6 months postoperatively, he had regained full motion in his shoulder and radiographs showed union of the fracture (Figure 5) Deep infection after internal fixation of clavicle fractures is associated with a poor rate of union and poor functional outcome. described 1 deep infection in 232 plated clavicle fractures. reported 8 infections in 103 cases treated with plate fixation. 5 of these were deep infections... Deep infections following open reduction and internal fixation of clavicle fractures will become more common, as a greater proportion of clavicle fractures are being treated surgically... It also allows obliteration of the dead space created by soft tissue and bone debridement... There have been no previous publications in which the Lautenbach technique has been used in the management of infected non-unions of the clavicle... We used a modified Lautenbach technique, as the clavicle cannot be reamed in the same way as the tibia and femur to accommodate the irrigation tubes, which are traditionally inserted in an intramedullary fashion... Instead, the end of the double-lumen suction irrigation system was placed at the fracture site, allowing local delivery of antibiotics and antithrombotic agents. and used the suction irrigation system for approximately 3 weeks... We removed the double-lumen tube on day 7, as the inflammatory markers had markedly improved and the patient was suitable for discharge with appropriate oral antibiotic treatment... Deep infection of the clavicle will become increasingly common, as clavicle fractures are more often being treated by open reduction and internal fixation... We believe that the use of a modified Lautenbach system in conjunction with external fixation may be of value in the management of infected clavicle non-unions.

Show MeSH
Related in: MedlinePlus