Fractures of the distal clavicle: comparison between two surgical treatment methods

Vilela, José Carlos Souza; Andrade, Ronaldo Percopi de; Gonçalves, Lucas Braga Jacques; Machado, Thalles Leandro Abreu; Filho, Mario Roberto Chaves Correa; Araújo, Ivana Duval

doi:10.1016/j.rboe.2015.03.006

Cited by 6 publications

(2 citation statements)

References 17 publications

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“…The subcutaneous position gives rise to skin irritation caused by the implants thus requires removal. 6 All fixation methods have superiorities or deficiencies when compared to each other and none of them has been nominated as the 'gold standard. 7 was a good results in most of patients.…”

Section: Discussionmentioning

confidence: 99%

Hook plating versus tension band wiring in treatment of displaced lateral end clavicle fracture

Elmohamady¹,

Elzahed

Hammouda³

2021

Al-Azhar International Medical Journal

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Background: Lateral end clavicular fractures represent about 15% of clavicular fractures. Nonunion rate is about 22 to 44% due to interacting forces between arm weight and trapezius muscle. Aim of the work: To assess the clinical and radiological outcomes of fixation by HP versus TBW and to determine which technique provides enough stability to permit early range of motion. Patients and Methods: A prospective comparative study was done on 40 patients (20 patients fixed by HP and others 20 by TBW) and followed up at Al-Azhar University Hospitals between December 2019 to April 2021. Result: The mean age of patients was 35.5 years in HP group and 37.4 years in TBW group with predominance in males than females (25 males and 15 females). Bone union occurred in 37 (92%) of cases and non union occurred in 2 (5%) cases in TBW group and 1 (2.5%) case in HP group with average union time about 10 weeks in two groups and mean constant murley score was 86.5 in HP group and 87.6 in TBW group . Superficial infection occurred in 4 cases in TBW group (10%) with no recorded cases in HP group. Conclusion: Fixation of lateral end clavicular fractures using HP or TBW results in good functional outcome and low rate of complication where plating has many advantages such as minimal complications, easier technique and early motion of the affected shoulder.

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Section: Discussionmentioning

confidence: 99%

Hook plating versus tension band wiring in treatment of displaced lateral end clavicle fracture

Elmohamady¹,

Elzahed

Hammouda³

2021

Al-Azhar International Medical Journal

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“…This technique might be a supplementary method to the locking plate to reduce the fixation failure. A few studies have investigated the outcome of CC ligament augmentation with different surgical techniques [ 27 – 30 ]. Herrmann et al [ 27 ] studied 8 people who underwent surgery by using locking T-plates and suture anchor stabilization for the treatment of unstable distal fracture.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Treatment of Acute Unstable Distal Clavicle Fractures Using Anatomical Locking Plates with Versus without Additional Suture Anchor Fixation

et al. 2017

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BackgroundSurgical managements were recommended for unstable distal clavicle fracture owing to the high incidence of nonunion. The present study compared the efficacy of anatomical locking plate with versus without additional suture anchor fixation for the treatment of unstable Neer type II distal clavicle fractures.Material/MethodsBetween January 2013 to January 2015, 28 consecutive patients with unstable Neer type II fractures were treated by using anatomical locking plate with or without additional suture anchor fixation. The patients were divided into anatomical locking plate group (group A) and anatomical locking plate combined with suture anchor group (group B) according to the surgical method. The operative-related parameters such as operation time, blood loss, length of hospitalization, union time, functional outcomes (Constant score, UCLA score and DASH score) and CC distance were compared.ResultsThe mean follow-up period of the 28 patients was 19.60 months (21.80 versus 18.39 months, respectively). No statistical differences in general and peri-operative parameters were found between 2 groups. The group B had significant higher Constant score than group A (P=0.004, 91.67 versus 83.10). While no statistical differences were reached in the UCLA score and DASH score between 2 groups (P=0.112 and 0.163, respectively). The group A had longer CC distance than group B (11.67 versus 8.94 mm), while no statistic difference was found (P=0.067).ConclusionsFor the treatment of acute unstable Neer type II distal clavicle fractures, both surgical methods could offer satisfactory outcome. However, anatomical locking plate combined with additional suture anchor fixation had a better functional and radiographic outcome than that without additional suture anchor fixation.

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An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis

Vannabouathong¹,

Chiu²,

Patel³

et al. 2020

JSES International

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Fractures of the distal clavicle: comparison between two surgical treatment methods

Cited by 6 publications

References 17 publications

Hook plating versus tension band wiring in treatment of displaced lateral end clavicle fracture

Hook plating versus tension band wiring in treatment of displaced lateral end clavicle fracture

Comparison of Treatment of Acute Unstable Distal Clavicle Fractures Using Anatomical Locking Plates with Versus without Additional Suture Anchor Fixation

An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis

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