CLAVICULAR NONUNION - 31 32 HEALED AFTER PLATE FIXATION AND BONE-GRAFTING/

We report the long-term results in 32 patients with established nonuni on of the clavicle; 15 treated with AO Dynamic Compression Plate and a utologous cancellous bone graft and 17 treated with an AO reconstructi on plate and autologous cancellous bone graft, The patients were follo wed up for a mean of 8 (4-21) years from injury and 7 (4-12) from non- union operation, both by clinical review and radiographs. 31/32 nonuni ons united successfully, One fracture which initially failed to unite was replated and subsequently united, 6 compression plates and 7 recon struction plates were removed for discomfort or cosmesis, None broke, Both plates give equally good results, but we feel that the reconstruc tion plate is easier to contour to the complex form of the clavicle.