Interfragmentary Suture Fixation for Displaced Acute Type II Distal Clavicle Fractures

Duralde, Xavier A.; Pennington, Scott D.; Murray, Douglas H.

doi:10.1097/bot.0000000000000122

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…[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%

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An effective nonabsorbable suture technique for distal clavicle fractures

Polat

Fidan

2022

Jt Dis Relat Surg

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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.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

An effective nonabsorbable suture technique for distal clavicle fractures

Polat

Fidan

2022

Jt Dis Relat Surg

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“… 38 Duralde, in 2014, reported another suture technique using 2 FiberWire sutures under the coracoid and 1 or 2 FiberWire across the fracture fragments in a figure-of-8. 13 Sarda, in 2019, reported a modified UCAC technique with one loop around the coracoid and the clavicle and another loop around the coracoid and through the clavicle. 34 Although these 3 previous techniques stabilize the fracture vertically and horizontally, some of them use either a single coracoclavicular strand or do not stabilize the fracture in multiple planes.…”

Section: Discussionmentioning

confidence: 99%

All-suture technique for fixation of unstable displaced distal clavicle fracture

Cunningham

Almeida

Gauthier

2022

JSES Reviews, Reports, and Techniques

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“…22,25 Other studies have shown that interfragmentary and coracoclavicular suture fixation also have excellent rates of union, low rates of perioperative complications, and high patient satisfaction. 26 Functional outcomes are also reassuring with coracoclavicular ligament repair as part of the treatment of distal clavicle fractures. In a study of young, active male patients, arthroscopic fixation with an adjustable cortical suture button restored all patients to normal range of motion and previous sporting activity by 6 months postoperatively.…”

Section: Discussionmentioning

confidence: 99%

Predictors of Persistent Pain After Fixation of Distal Clavicle Fractures in an Active Military Population

Lanier¹,

Speirs²,

Koehler³

et al. 2018

Orthopedics

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Patients who undergo open reduction and internal fixation of distal clavicle fractures have a high rate of hardware removal and persistence of symptoms, particularly when attempting to return to high-demand activities. This study evaluated the outcomes of military servicemembers after surgical treatment of distal clavicle fractures. The authors performed a retrospective analysis of active duty servicemembers who underwent open reduction and internal fixation of Neer type II distal clavicle fractures between October 17, 2007, and July 20, 2012, with a minimum of 2-year clinical follow-up. The electronic health record was queried to extract demographic features and clinical outcomes, primarily persistence of pain, removal of hardware, and postoperative return to high-level activity. A total of 48 patients were identified, with mean follow-up of 3.8 years. A total of 44% of patients underwent subsequent hardware removal. All fractures achieved radiographic union, and 35% of patients had persistence of symptoms. Patients who were treated with hook plating had a 3.64-fold higher risk of persistence of pain compared with those treated with conventional plating techniques. A total of 35% of patients successfully returned to full military function and completed a postoperative military deployment. Coracoclavicular reconstruction did not improve outcomes. Persistence of symptoms and requirement for hardware removal were not associated with the rate of postoperative deployment. Achieving excellent functional outcomes with open reduction and internal fixation of distal clavicle fractures remains a challenge. Where possible, conventional plate fixation should be considered over hook plate fixation. However, subsequent hardware removal and continuing shoulder pain do not preclude a return to high-level activity. [Orthopedics. 2018; 41(1):e117-e126.].

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Interfragmentary Suture Fixation for Displaced Acute Type II Distal Clavicle Fractures

Abstract: Therapeutic level IV. See instructions for authors for a complete description of levels of evidence.

Cited by 9 publications

References 20 publications

An effective nonabsorbable suture technique for distal clavicle fractures

An effective nonabsorbable suture technique for distal clavicle fractures

All-suture technique for fixation of unstable displaced distal clavicle fracture

Predictors of Persistent Pain After Fixation of Distal Clavicle Fractures in an Active Military Population

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