Internal fixation of lateral clavicle fractures with Vicryl tape

Othman, A. Y.

doi:10.1007/s00590-002-0034-5

Cited by 6 publications

(8 citation statements)

References 7 publications

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“…As intramedullary fixation, Knowles pins were used in 68 patients (Fann et al 2004, Wang and Wong 2008, Jou et al 2011), coracoclavicular screws in 30 patients (Fazal et al 2007), and malleolar screws in 10 patients (Scadden and Richards 2005) (Table 2C, see Supplementary data). For the group with suture anchoring or tension bands, K-wires with suture anchoring were used in 10 patients (Bezer et al 2005), tension-band suturing in 43 patients (Rokito et al 2002, Badhe et al 2007, Shin et al 2009), vicryl tape in 6 patients (Othman 2002), and a Dacron arterial graft in 11 patients (Webber and Haines 2000) (Table 2D, see Supplementary data). The studies included 238 men and 101 women and mean age was 38 (17–86) years at the time of trauma.…”

Section: Resultsmentioning

confidence: 99%

“…One retrospective case-control study (Rokito et al 2002) was identified, comparing suture bands with non-operative treatment, and only the surgically treated patients were included in the present meta-analysis. All other studies were prospective (n = 8) or retrospective case series (n = 12) (Webber and Haines 2000, Othman 2002, Fann et al 2004, Bezer et al 2005, Scadden and Richards 2005, Bhangal et al 2006, Kashii et al 2006, Meda et al 2006, Badhe et al 2007, Fazal et al 2007, Muramatsu et al 2007, Kalamaras et al 2008, Wang and Wong 2008, Herrmann et al 2009, Renger et al 2009, Shin et al 2009, Yu et al 2009, Jou et al 2011, Kaipel et al 2010, Lee et al 2010). The primary outcome in all studies was the incidence of union and non-union, as determined on radiographs or by clinical evaluation (withstanding pressure on fracture side without pain).…”

Section: Resultsmentioning

confidence: 99%

“…In 5 other studies, the implant was only removed if major complications occurred (Webber and Haines 2000, Meda et al 2006, Muramatsu et al 2007, Herrmann et al 2009, Kaipel et al 2010). In the studies reporting on sutures and tension bands, patients did not require a second operation for removal of the implants (Othman 2002, Rokito et al 2002, Badhe et al 2007, Kalamaras et al 2008, Shin et al 2009, Yu et al 2009). No statistically significant difference was found when comparing treatment for weeks to implant removal (p = 0.7).…”

Section: Resultsmentioning

confidence: 99%

“…In all but 4 studies, complications of treatment were observed (Othman 2002, Scadden and Richards 2005, Badhe et al 2007, Yu et al 2009). Some complications, such as pin or screw migration, led to a second operation.…”

Section: Resultsmentioning

confidence: 99%

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Surgical treatment of Neer type-II fractures of the distal clavicle

Stegeman¹,

Nacak²,

Huvenaars

et al. 2013

Acta Orthopaedica

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Background and purpose Type-II distal clavicle fractures according to the Neer classification are generally operated because of the high non-union rate after non-operative treatment. Several surgical techniques have been developed in order to reduce the non-union rate and improve functional outcome. This meta-analysis overviews the available surgical techniques for type-II distal clavicular fractures.Methods We searched the literature systematically. No comparative studies were found. 21 studies (8 prospective and 13 retrospective cohort studies) were selected for the meta-analysis. Data were pooled for 5 surgical outcome measures: function, time to union, time to implant removal, major complications, and minor complications.Results The 21 studies selected included 350 patients with a distal clavicular fracture. Union was achieved in 98% of the patients. Functional outcome was similar between the treatment modalities. Hook-plate fixation was associated with an 11-fold increased risk of major complications compared to intramedullary fixation and a 24-fold increased risk compared to suture anchoring.Interpretation If surgical treatment of a distal clavicle fracture is considered, a fixation procedure with a low risk of complications and a high union rate such as plate fixation or intramedullary fixation should be used. The hook-plate fixation had an increased risk of implant-related complications.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Surgical treatment of Neer type-II fractures of the distal clavicle

Stegeman¹,

Nacak²,

Huvenaars

et al. 2013

Acta Orthopaedica

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“…Since then, several authors have described variations of this technique employing different constructs to achieve high union rates with low complication and reoperation rates. 7 , 8 , 19 , 34 , 37 , 48 , 49 , 53 – 55 , 61 …”

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confidence: 99%

Closed-Loop Double Endobutton Technique for Repair of Unstable Distal Clavicle Fractures

Struhl

Wolfson

2016

Orthopaedic Journal of Sports Medicine

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Background:Displaced fractures of the distal clavicle are inherently unstable and lead to nonunion in a high percentage of cases. The optimal surgical management remains controversial.Hypothesis:Indirect osteosynthesis with a closed-loop double endobutton construct would result in reliable fracture union and obviate the need for additional surgery.Study Design:Case series; Level of evidence, 4.Methods:Eight patients with an acute unstable Neer type IIB distal clavicle fracture were treated with a closed-loop double endobutton implant. Mean follow-up averaged 3.4 years (range, 1-9 years). Two patients were lost to follow-up. The remaining 6 patients underwent a detailed functional and radiologic evaluation.Results:Definitive fracture healing was achieved in all patients. There were no complications, and no patients required additional surgery related to the index procedure. The mean Constant score was 97 at final follow-up.Conclusion:The closed-loop double endobutton technique was reliable and effective in achieving fracture union in all patients with unstable Neer type IIB fractures of the distal clavicle. This technique obviates the need for late hardware removal that is often necessary when direct osteosynthesis is used and avoids potential complications associated with coracoclavicular cerclage constructs that require knot fixation.

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Open coraco-clavicular ligament reconstruction (CCLR) in treatment of displaced distal clavicle fractures has low complication rate and excellent union rate: a systematic review

Malik

Tahir

et al. 2022

Arch Orthop Trauma Surg

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Internal fixation of lateral clavicle fractures with Vicryl tape

Cited by 6 publications

References 7 publications

Surgical treatment of Neer type-II fractures of the distal clavicle

Surgical treatment of Neer type-II fractures of the distal clavicle

Closed-Loop Double Endobutton Technique for Repair of Unstable Distal Clavicle Fractures

Open coraco-clavicular ligament reconstruction (CCLR) in treatment of displaced distal clavicle fractures has low complication rate and excellent union rate: a systematic review

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