Results of the Bosworth method for unstable fractures of the distal clavicle

Yamaguchi, Hidetoshi; Arakawa, Hikaru; Kobayashi, Masao

doi:10.1007/s002640050279

Cited by 87 publications

(51 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Edward et al [23], Yamaguchi et al [9], and Ballmer et al [7] reported 100% success rate in their series with Bosworth coracoclavicular fixation. Screw cut-out and periimplant fracture are possible complications of Bosworth screw fixation.…”

Section: Discussionmentioning

confidence: 99%

“…The rotational movement that occurs at the acromioclavicular joint is transferred to the fracture site, making the lateral end mobile, resulting in nonunion. Consequently, various surgical modalities have been advocated with various techniques of fixation with better outcomes [7][8][9][10][11][12][13][14][15][16][17][18]. Gaining control over such rotational movement with some sort of semi rigid to rigid fixation would prevent nonunion.…”

Section: Discussionmentioning

confidence: 99%

“…However, a few series of coracoclavicular screws [7][8][9], tension bands [10][11][12], Kirshner wires [1,13], hook plates [14,15] and contoured locked and non locked plates [16][17][18] have been published with encouraging results in all series. Feared complications of open reduction and internal fixation (ORIF) include fixation failure, pin migration, refracture, malunion and extensive tissue dissection during hardware removal [12,19].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Modified tension band for displaced type 2 lateral end clavicle fractures

Rijal

Sagar

Joshi³

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

Purpose Displaced type 2 lateral end clavicle fractures have a tendency to delayed union or non-union. Various methods of stabilisation of the displaced lateral end fractures are described. The increasing use of implants to fix such fractures also necessitates extensive dissection for implant retrieval. Adequate reduction and minimal tissue trauma during implant placement and removal would be ideal modalities for fixation of such fractures. Methods All displaced type 2 lateral end clavicle fractures fulfilling our inclusion criteria were reduced with a small anterosuperior incision. Anteroposterior drill holes were made in both the fragments and a nonabsorabable polyester suture was passed through. The fracture was reduced and fixed with transacromial smooth Kirshner wires. The suture was tied with the knot superiorly in a figure-eight manner. The arm was supported in an arm pouch for six weeks. The Kirshner wire was routinely removed after six weeks in an out-patient department. Clinico-radiological outcome was studied at six weeks, and monthly intervals thereafter until union. Results All 16 fractures united. The mean average age of patients was 36.25 years with a SD of 11.35. There was no loss of reduction even after removal of Kirshner wires at six weeks. The mean average time of union was 10.75 weeks with a SD of 3.92. All patients regained near normal range of motion, and the mean average constant score at the end of one year was 98.37 with a SD of 2.87. All patients returned to preinjury level by the one-year follow-up. The range of motion remained the same in those who were followed up in successive years. Skin impingement with bent Kirshner wires were noted in four cases. Kirshner wires backed out in one case before six weeks but there was no loss of reduction. Infection and Kirshner wire breakage were not noted in our series. Conclusion The clinico-radiological outcomes with our modified tension band fixation for displaced type 2 lateral end clavicle fractures were encouraging and comparable with earlier studies.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Modified tension band for displaced type 2 lateral end clavicle fractures

Rijal

Sagar

Joshi³

et al. 2012

International Orthopaedics (SICOT)

View full text Add to dashboard Cite

show abstract

“…Many surgical methods have been introduced for distal clavicle fractures, including, transacromial Knowles pins, 9 hook-plate fixation, 5,10 and coracoclavicular stabilization with suture loops, 11 or screws. 12 Techniques using internal fixation that includes rigid coracoclavicular or acromioclavicular fixation have the disadvantage of interfering with the normal rotational movement of the clavicle in relation to the coracoid and acromion. Therefore, the metallic fixation should be removed before full mobilization is started; otherwise implant breakage or more seriously fracture of the anchorage points will occur.…”

Section: Discussionmentioning

confidence: 99%

Treatment of unstable distal third clavicular fracture with locked distal radius plate

Abdeldayem

Nafea

Eid

2013

Journal of Orthopaedics

View full text Add to dashboard Cite

show abstract

“…But following a fracture lateral fragment impinging on pleura is very rare entity. Early diagnosis and treatment is essential to prevent injury to lung parenchyma 14,15,16 .…”

Section: Discussionmentioning

confidence: 99%