Accelerated rehabilitation in treating neer type V distal clavicle fractures using anatomical locking plates with coracoclavicular ligament augmentation

Zou, Min; Duan, Xin; Li, Mufan; Sun, Jiachen

doi:10.1016/j.heliyon.2022.e12660

Heliyon

2023

DOI: 10.1016/j.heliyon.2022.e12660

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Accelerated rehabilitation in treating neer type V distal clavicle fractures using anatomical locking plates with coracoclavicular ligament augmentation

Min Zou

Xin Duan

Mufan Li

et al.

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2024

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Osteosynthesis using Scorpion plate for neer type V distal clavicle fracture

Furuhata,

Matsumura,

Kamata

et al. 2024

BMC Musculoskelet Disord

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Background Neer type V distal clavicle fractures are considered the most unstable fracture type and are characterized by the disruption of continuity between the coracoclavicular (C-C) ligaments and proximal or distal bone fragments. However, owing to the rarity of such fractures, there is currently no universally accepted surgical procedure for their treatment. Recently, the scorpion plate, an anatomical, non-locking, pre-contoured plate with two grasping arms to fix the distal or inferior clavicular fragments, was introduced. This study aimed to investigate the postoperative functional and radiological outcomes of osteosynthesis using only scorpion plates in Neer type V fractures. Methods We retrospectively identified 23 patients who underwent scorpion plate fixation for Neer type V fractures at two general hospitals. All patients underwent only plate fixation without C-C ligament augmentation. Subsequently, we investigated their postoperative functional outcomes, complication rates, and modified C-C distance ratio at 1 year. Results The mean postoperative Constant score was 96 ± 5, with all cases achieving bone union. Complications within 1 year postoperatively included plate loosening in one patient (4.3%) and plate irritation in two patients (8.7%). Additionally, the modified C-C distance ratio averaged 114 ± 15%. Conclusions This study offers novel insights into the management of Neer type V distal clavicle fractures. Our findings indicate that osteosynthesis using only scorpion plates can lead to satisfactory functional outcomes with minimal complications.

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Osteosynthesis using Scorpion plate for neer type V distal clavicle fracture

Furuhata,

Matsumura,

Kamata

et al. 2024

BMC Musculoskelet Disord

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show abstract

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Accelerated rehabilitation in treating neer type V distal clavicle fractures using anatomical locking plates with coracoclavicular ligament augmentation

Cited by 1 publication

References 47 publications

Osteosynthesis using Scorpion plate for neer type V distal clavicle fracture

Osteosynthesis using Scorpion plate for neer type V distal clavicle fracture

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