Distal clavicular fracture treatment result with suture anchor method

Mirbolook, Ahmadreza; Sadat, M M; Golbakhsh, Mohammadreza; Mousavi, Mohammad Sadegh; Gholizadeh, Amirmohammad; Saghari, Sepehr

doi:10.3944/aott.2015.15.0023

Cited by 7 publications

(8 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They reported no major complications and good to excellent clinical results. Mirbolook et al 49) evaluated 43 patients with distal clavicle fractures fixed by two pins on the AC joint and one suture anchor for CC fixation. All patients had bony union at a mean of 4.5 months without major complications.…”

Section: Hook Platementioning

confidence: 99%

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

Kim

et al. 2020

Clin Orthop Surg

View full text Add to dashboard Cite

The management of distal (lateral third) clavicle fractures can be challenging because of difficulty in distinguishing subtle variations in the fracture pattern, which may be suggestive of potential fracture instability. 1) An analysis of the frequency of distal clavicle fractures by age and sex has revealed that they occur most often in men between 30 and 50 years of age and secondarily in individuals (both men and women) over 70 years of age. 2) Distal clavicle fractures are less common than clavicle midshaft fractures and account for 10%-30% of all clavicle fractures. Roughly 30%-45% of all clavicle nonunion fractures occur distally. [3][4][5][6][7][8] Distal clavicle fractures may be treated conservatively or surgically, and there is no gold standard or consensus in the field. Importantly, however, conservative treatment of distal clavicle fractures may result in nonunion or pseudoarthrosis; therefore, surgical treatment is recommended when these fractures are unstable. Various strategies for surgical treatment of distal clavicle fractures have been reported, including precontoured locking plate fixation, hook plate fixation, coracoclavicular (CC) fixation (using a suture anchor, suture button device, or screw), ten-

show abstract

Section: Hook Platementioning

confidence: 99%

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

Kim

et al. 2020

Clin Orthop Surg

View full text Add to dashboard Cite

show abstract

“…[8] In recent years, the high complication rates of classical methods and increased need for secondary surgery have led CC fixation to gain popularity. [8,9,[25][26][27] With CC stabilization, the forces displacing the fracture are eliminated, and indirect reduction is performed to achieve fracture healing. The efficacy of this technique with its high union and low complication rates have been reported in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…The efficacy of this technique with its high union and low complication rates have been reported in the literature. [8,9,[26][27][28] Coracoclavicular screw fixation techniques have been described in the literature in cases with Neer type II clavicle fractures. [29] Since the dynamic relationship between the coracoid and the clavicle becomes rigid in screw fixation techniques, it risks low clinical scores or failure.…”

Section: Discussionmentioning

confidence: 99%

An effective nonabsorbable suture technique for distal clavicle fractures

Polat

Fidan

2022

Jt Dis Relat Surg

View full text Add to dashboard Cite

Objectives The purpose of this study was to evaluate the clinical and radiologic outcomes of unstable distal clavicle fractures in patients who underwent indirect fracture fixation by performing augmentation with nonabsorbable sutures. Patients and methods In this descriptive observational study, 16 patients (11 males, 5 females; mean age: 34.8±12.1 years; range, 18 to 67 years) who underwent indirect fracture fixation using nonabsorbable sutures for Neer type IIB distal clavicle fractures at the Gaziosmanpaşa Training and Research Hospital, Department of Orthopedic Surgery between January 2014 and September 2019 were retrospectively reviewed. Clinical outcomes were evaluated using the Constant-Murley score and Visual Analog Scale. Results Complete union was achieved in all patients, and mean union time was 45.3± 8.4 (range, 30 to 68) days. There were no patients with loss of reduction, infection, or requirement for additional surgery. Conclusion The coracoclavicular fixation method, which was applied using nonabsorbent sutures in a limited number of Neer type IIB clavicle fractures, provides a suitable and stable fixation comparable to classical techniques.

show abstract

“… 1 Proximal clavicula fractures were first described by Robinson, who classified proximal fractures into 2 types, The majority of these cases could be successfully managed conservatively. 2 However, type D (Comminuted fracture, proposed by Throckmorton) poses a challenging problem. 3 The fracture can be significantly displaced as a result of strong forces-the sternocleidomastoid muscle pulls the medial fragment superiorly.…”

Section: Introductionmentioning

confidence: 99%

“…Proximal clavicula fractures have lower incidence than fractures of the middle third and distal clavicula fractures, accounting for approximately 5% of all clavicula fractures 1 . Proximal clavicula fractures were first described by Robinson, who classified proximal fractures into 2 types, The majority of these cases could be successfully managed conservatively 2 . However, type D (Comminuted fracture, proposed by Throckmorton) poses a challenging problem 3 .…”

Section: Introductionmentioning

confidence: 99%

T-plate fixation for unstable proximal clavicula fractures

Zheng¹,

Yuan²,

Yin³

et al. 2018

Acta Orthopaedica et Traumatologica Turcica

View full text Add to dashboard Cite

ObjectiveThe aim of this study was to evaluate the clinical results of T-plate fixation and anterior sternoclavicular ligament repair in proximal clavicle fractures.MethodsBetween August 2013 and August 2016, a total 12 patients (10 men and 2 women; mean age: 44.1 ± 9.1 years (range, 25–59 years)) with unstable proximal clavicle fractures (Throckmorton, type D) were treated with T-type plate fixation, bridging the sternoclavicular joint, and anterior sternoclavicular ligament repair. Average operative time, associated injuries, postoperative complications, postoperative fracture healing time and follow-up time were recorded. The outcomes were evaluated with radiographic assessment, visual analog scale (VAS) pain score and Rockwood SCJ scoring system. All the patients were evaluated on postoperative 3rd, 6th, and 12th months.ResultsThe average surgery time was 78.0 ± 8.47 minutes while fracture healing time was 4.51 ± 0.95 months. According to Rockwood SCJ scoring system, 9 cases (75%) were in excellent, 2 cases (16.7%) in good and 1 case (8.3%) in fair condition at 12 months follow-up. The average Rockwood SCJ score was 7.7 ± 0.75 preoperatively, 12.7 ± 0.86 by 3 months, 13.0 ± 0.73 by 6 months and 13.3 ± 0.49 by 12 months. The VAS pain score was 7.9 ± 1.15 (preoperative score), 3.4 ± 1.52 (3 months follow-up), 3.0 ± 1.32 (6 months follow-up) and 2.1 ± 1.07 (12 months follow-up). The VAS and Rockwood SCJ scores were significantly improved postoperatively (p < 0.05). There was no intraoperative complication, while one patient had redislocation of the sternoclavicular joint after implant removal.ConclusionT-type plate fixation with anterior sternoclavicular ligament repair might be a reliable and effective treatment method in unstable proximal clavicle fractures (type D) with few complications and satisfactory clinical results after 12 months follow-up.Level of evidenceLevel IV, therapeutic study.

show abstract

Distal clavicular fracture treatment result with suture anchor method

Cited by 7 publications

References 19 publications

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

Current Concepts for Classification and Treatment of Distal Clavicle Fractures

An effective nonabsorbable suture technique for distal clavicle fractures

T-plate fixation for unstable proximal clavicula fractures

Contact Info

Product

Resources

About