An alternative fixation method for the treatment of unstable distal clavicle fractures: locked distal radius plate

Dağlar, Bülent

doi:10.3944/aott.2009.324

Cited by 19 publications

(15 citation statements)

References 21 publications

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“…Kalamaras [7], Daglar [8], and Herrmann [9] described series of 9, 14, and 7 patients, respectively, with a displaced lateral clavicle fracture. The implant used in these studies was a volar distal radius plate with locked screws.…”

Section: Introductionmentioning

confidence: 99%

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Tiren

Vroemen

2013

J Orthopaed Traumatol

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BackgroundUntil now there have been no prospective studies describing the results of using the superior clavicle plate with lateral extension in patients with displaced lateral clavicle fractures (Neer type 2). The purpose of this study was to evaluate the results of applying this plate for this specific type of fracture.Materials and methodsIn this prospective study, seven patients (mean age 43, M:F; 6:1) with a fresh displaced lateral clavicle fracture were evaluated with a mean follow-up of 10 months. Analysis included functional and subjective outcome, time until union, time until return to work, and complications.ResultsAll patients achieved clinical and radiological union within 6–12 weeks. Full range of motion as well as a return to work was achieved in most cases within 2 weeks. The mean Constant score was 98 (range 90–100), the DASH score was 3.6 (range 0–11.4), and the Shoulder Rating Questionnaire score was 97 (range 96–100). No major complications were encountered. Three patients required plate removal: two because of a prominent and subcutaneous plate and one because of an intra-articular screw.ConclusionsIn this study, use of the superior clavicle plate with lateral extension yielded excellent results in the treatment of this difficult fracture. In particular, patients acquired full range of motion within 2 weeks, reflecting the stability of the osteosynthesis achieved with this implant.

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Section: Introductionmentioning

confidence: 99%

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Tiren

Vroemen

2013

J Orthopaed Traumatol

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“…Likewise, in selected acute fractures and nonunions of the lateral clavicle, locked distal radius plate fi xation provided excellent clinical results because it allowed earlier shoulder movements without necessitating implant removal. 27 In our opinion, this may be the greatest advantage of using hook plates in treating unstable lateral clavicle fractures.…”

Section: Discussionmentioning

confidence: 92%

Comparing Hook Plates and Kirschner Tension Band Wiring for Unstable Lateral Clavicle Fractures

Wu¹,

Chang²,

Yang³

2011

Orthopedics

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The purpose of this study was to compare outcomes and complications of clavicular hook plate and Kirschner tension band wiring for fixation of unstable lateral clavicle fractures. The surgical outcomes of 92 consecutive patients (mean age, 49.30 ± 15.54 years) with unstable fractures of the lateral clavicle treated using AO clavicle hook plates were compared with those of 24 patients (mean age, 50.67 ± 17.58 years) treated using K-wire tension banding. Patients in the hook plate and K-wire groups were followed up for 22.76 ± 2.22 and 25.67 ± 2.75 months, respectively (P<.001). The time to hardware removal was significantly shorter (P<.001) in the hook plate group (5.20 ± 1.93 months) compared with the K-wire group (7.58 ± 2.00 months), whereas the Constant-Murley score was significantly higher (P<.001) in the hook plate group (90.43 ± 4.78) compared with the K-wire group (85.63 ± 5.38) at final follow-up. There were 12 complications in the hook plate group and 7 in the K-wire group (P=.069). Complications in the hook plate group included 7 periprosthetic fractures, 4 plate removals, and 1 plate malposition. Complications in the K-wire group included 3 K-wire migrations, 3 losses of reduction, and 1 wire breakage. We found that hook plate fixation of unstable lateral clavicle fractures was associated with statistically better shoulder function and earlier implant removal than K-wire tension band fixation, with an equivalent rate of complications. Our findings suggest that hook plates are useful for treating unstable lateral clavicular fractures.

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“…[23,24] Dağlar ve ark. [28] Neer tip 2 ve tip 3 kırıklarda distal radius kilitli plakları kullanarak ameliyat sonrası erken hareket vererek mükemmel sonuçlar elde etmişlerdir. Dacron ya da mersilen bant kullanılarak yapılan korakoklaviküler askı tekniği korakoid proçes tabanında geniş diseksiyon gerektirir.…”

Section: Discussionunclassified

Effects of Periacromial Kirchner Wire Fixation on Shoulder Range of Motion in Surgical Management of Distal Clavicula Fractures

Kibar¹,

Kurtulmuş²,

Sağlam³

et al. 2014

J Kartal TR

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ÖzetAmaç: Çalışmamızda distal klavikula kırıklarının cerrahi tedavisinde periakromiyal intramedüller K-teli fiksasyonunun omuz eklem hareketleri üzerine etkisini inceledik. Bulgular:Hastaların hepsinde kaynama elde edildi. Kaynama süresi 47.19±9.35 gündü. Hastaların %12.9'unda (n=4) pin dibi enfeksiyonu, %6.5'inde (n=2) keloid, %6.5'inde (n=2) pin migrasyonu oluştu. Ameliyat sonrası majör komplikasyon görülmedi. Yaş ile Constant skoru arasında ters yönde (Constant skoru arttığında, yaş düşmekte) %82.6 ilişki saptandı (r=-0.826; p=0.001), istatistiksel olarak anlamlı düzeyde farklılık saptandı. Cinsiyetlere göre Constant skorları arasında istatistiksel olarak anlamlı farklılık saptanmadı (p>0.05). Ayrıca komplikasyonlara göre yaş ortalamaları ve cinsiyet dağılım-ları arasında anlamlı farklılık yoktu (p>0.05).Sonuç: K-teli fiksasyonu minimal invaziv bir yöntemdir. Diğer avantajıysa K-telleri anestezi ve ek bir girişim gerektirmeksizin poliklinik şartlarında alınabilir. Distal klavikula kırıklarında peri-akromiyal K-teliyle tespit, yüksek kaynama oranı, iyi fonksiyonel sonuçlar ve kabul edilebilir komplikasyonlarıyla güvenilir bir yöntemdir.Anahtar sözcükler: Distal klavikula kırığı; eklem hareket açıklı-ğı; Kirschner teli; omuz eklemi. SummaryBackground: In our study, we aimed to evaluate the effects of periacromial kirchner wire fixation on shoulder function in distal clavicle fractures.

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An alternative fixation method for the treatment of unstable distal clavicle fractures: locked distal radius plate

Abstract: In selected acute fractures and nonunions of the distal clavicle, excellent clinical results are easily achievable with locked distal radius plate fixation because it allows early shoulder movements without necessitating implant removal.

Cited by 19 publications

References 21 publications

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Superior clavicle plate with lateral extension for displaced lateral clavicle fractures: a prospective study

Comparing Hook Plates and Kirschner Tension Band Wiring for Unstable Lateral Clavicle Fractures

Effects of Periacromial Kirchner Wire Fixation on Shoulder Range of Motion in Surgical Management of Distal Clavicula Fractures

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