Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring

Chae, Soo-Cheon; Choi, Chang-Hyuk; Kim, Dong-Young

doi:10.12671/jkfs.2016.29.2.107

Cited by 3 publications

(1 citation statement)

References 28 publications

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“…In addition, side effects such as rotator cuff tears, subacromial impingement syndrome [ 18 ], and periprosthetic fractures [ 19 ] have been reported. On the other hand, fixation with a locking plate involves the difficulty of direct placement of screws on distal fragments, and has the disadvantage that it cannot be performed if distal fragments are small [ 20 ]. In addition, distal clavicle fractures accompanied by a rupture of the coracoclavicular ligament have the problem that the coracoclavicular distance is not easily restored without performing direct repair or reconstruction of the coracoclavicular ligament [ 21 ], but the abovementioned disadvantages of hook plates can be complemented or overcome.…”

Section: Introductionmentioning

confidence: 99%

The Radiologic Comparison of Operative Treatment Using a Hook Plate versus a Distal Clavicle Locking Plate of Distal Clavicle Fracture

Yoon

Kim

Lee

et al. 2018

Clin Shoulder Elbow

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BACKGROUND: The purpose of this study was to compare the radiologic results of patients who underwent surgery with a hook plate and a locking plate in distal clavicle fractures.METHODS: Sixty patients underwent surgical treatment for Neer type IIa, IIb, III, and V distal clavicle fracture. Twenty-eight patients underwent fracture fixation with a hook plate and 32 with a locking plate. Coracoclavicular distance was measured on standard anteroposterior radiographs before and after the surgery, and union was confirmed by radiograph or computed tomography taken at 6 months postoperatively. Other radiologic complications like osteolysis was also checked.RESULTS: Bony union was confirmed in 59 patients out of 60 patients, and 1 patient in the hook plate group showed delayed union. Coracoclavicular distance was decreased more in the hook plate group after surgery (p < 0.01). After 6 weeks of the hook plate removal, the coracoclavicular distance was increased a little compared to before metal removal, but there was no difference compared to the contralateral shoulder. Eleven out of 28 patients (39.3%) showed osteolysis on the acromial undersurface in the hook plate group.CONCLUSIONS: Both the hook plate group and the locking plate group showed satisfactory radiologic results in distal clavicle fractures. Both hook plate and locking plate could be a good treatment option if it is used in proper indication in distal clavicle fracture with acromioclavicular subluxation or dislocation.

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Section: Introductionmentioning

confidence: 99%

The Radiologic Comparison of Operative Treatment Using a Hook Plate versus a Distal Clavicle Locking Plate of Distal Clavicle Fracture

Yoon

Kim

Lee

et al. 2018

Clin Shoulder Elbow

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Comparison of Locking Compression Plate Superior Anterior Clavicle Plate with Suture Augmentation and Hook Plate for Treatment of Distal Clavicle Fractures

Choi

Song

Kim³

et al. 2017

Arch Hand Microsurg

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Purpose: The purpose of this study was to compare the results (or effectiveness) of anterior superior locking compression plate (LCP) with suture augmentation and hook plate in treatment of Neer type II distal clavicle fracture. Methods: From April 2009 to October 2015, 34 patients with distal clavicle fracture of Neer type II were surgically treated. Eleven patients were operated with LCP-suture augmentation (group I) and 23 patients underwent by hook plate (group II). Radiographic evaluation and functional evaluation using Korean Shoulder Society (KSS) scoring system were performed. Results: Radiographic unions were achieved in all cases and mean radiographic union period was not different either as 4.1 months (range 3-14 months), 5.0 months (range 3-14 months) in group I and 3.7 months (range 3-11 months) in group II. However, KSS score was 87.6 (range 82-92) in group I, and was 63.4 (range 32-86) in group II (p<0.05). One case of osteolysis and no case of frozen shoulder were found in group I while 6 cases of osteolysis and 3 cases of frozen shoulder were found in group II. Conclusion: LCP-suture augmentation is considered a more effective method, compared to hook plate osteosynthesis for distal clavicle fracture of Neer type II, producing better clinical outcomes and lower incidence of complications.

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Treatment Results for Unstable Distal Clavicle Fractures Using Hybrid Fixations with Finger Trap Wire and Plate

Yang

Park

et al. 2022

J Korean Orthop Assoc

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Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring

Cited by 3 publications

References 28 publications

The Radiologic Comparison of Operative Treatment Using a Hook Plate versus a Distal Clavicle Locking Plate of Distal Clavicle Fracture

The Radiologic Comparison of Operative Treatment Using a Hook Plate versus a Distal Clavicle Locking Plate of Distal Clavicle Fracture

Comparison of Locking Compression Plate Superior Anterior Clavicle Plate with Suture Augmentation and Hook Plate for Treatment of Distal Clavicle Fractures

Treatment Results for Unstable Distal Clavicle Fractures Using Hybrid Fixations with Finger Trap Wire and Plate

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