Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate

Abstract

This study examined the clinical results of the treatment of type 2 distal clavicle fracture with using a Wolter plate. Materials and Methods: Between 2004 and 2007, 16 patient treated for type 2 distal clavicle fracture using a Wolter plate were included in this study. Their average age was 32.6 years and the postoperative mean follow-up period was 22.9 months. The reduction and union were qualified according to the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona's system and the Constant score Results: By Kona's functional evaluation, there were 12 cases with excellent results, 3 cases with good results and 1 case of fair results and the average Constant score was 90. All 16 cases showed bony union. As complications, there was 1 case in which the protruded hook of the plate could be palpated at the skin, and 1 case showed an acromial fracture, but all the cases dispalyed successful bony union and there was no acromioclavicular joint arthritis, infection or any other complications. Conclusion: Wolter plate fixation for type 2 distal clavicle fracture is a reliable surgical method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.

The Surgical Outcomes of Clavicle Lateral End Fractures Fixed with the Oblique T Locking Compession Plate

“…수술적 치료 방법으로는 견봉 돌기로부터 견봉-쇄골 관 절을 가로질러 원위 쇄골 골절을 고정하는 방법 6,12,15,16) , 견 봉-쇄골 관절을 통과하지 않는 장력대 강선 고정술로 고정 하는 방법 3,11) , 오구-쇄골 인대를 고정하는 방법 8,21) , Wolter 금속판이나 Hook 금속판을 이용하여 쇄골과 견봉 돌기를 같이 고정하는 금속판 고정 방법 7,19,20) , 원위 쇄골의 금속판 고정 방법 1,9,10) 그리고 근 이전술, 원위부 골절편 제거술 등 여러 가지가 소개되었다. …”