The treatment of distal clavicle fracture with hook plate of multiple hook angles - A prospective study

AbstractTo observe and compare the curative effect of a locking plate plus titanium cable under the Guide device and clavicular hook plate in the treatment of Neer type II distal clavicle fractures. A prospective cohort study was conducted to analyse the clinical data of 36 patients with distal clavicle fractures from January 2016 to January 2019. The results were analysed. According to the random number method, the patients were divided into two groups: the titanium cable group (fixed with a titanium cable in combination with a locking plate) and hook plate group (fixed with a clavicular hook plate only). Under the guidance of a special device (for which a patent was obtained), in the titanium cable group, the coracoclavicular ligament was fixed with tension reduction, and then the distal clavicular fracture was fixed with a locking plate. In the hook plate group, the distal clavicle fracture was fixed with a hook plate. The incision length, operation time, bleeding volume and VAS score before, 1 week after and 1 year after the operation were compared between the two groups. The effect of the operation was evaluated by the Constant-Murley score before and 1 year after the operation. X-ray films were taken 2 days, 3 months, half a year and 1 year after the operation to observe the reduction and healing of fractures. At the same time, complications were recorded. The amount of bleeding was the same in the two groups. The operation time in the hook plate group was relatively short, and the difference was statistically significant (P < 0.05). The VAS score in the titanium cable group was significantly lower than that in the hook plate group one year after the operation. The Constant-Murley score in the titanium cable group and hook plate group was significantly higher 1 year after the operation. The number of postoperative complications in the titanium cable group was significantly lower than that in the hook plate group. The treatment of Neer type II distal clavicle fractures with a titanium cable plus a locking plate has a good curative effect, few complications and good postoperative recovery and thus is worth popularizing.

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Periprosthetic Fracture after Hook Plate Fixation in Neer Type II Distal Clavicle Fracture: A Report of 3 Cases

Journal of the Korean Fracture Society ◽

10.12671/jkfs.2016.29.1.55 ◽

2016 ◽

Vol 29 (1) ◽

pp. 55 ◽

Cited By ~ 2

Author(s):

Kyung Yong Kim ◽

Joon Yub Kim ◽

Won Bok Lee ◽

Myong Gon Jung ◽

Jeong Hyun Yoo ◽

...

Keyword(s):

Periprosthetic Fracture ◽

Plate Fixation ◽

Clavicle Fracture ◽

Hook Plate ◽

Type Ii ◽

Distal Clavicle ◽

Distal Clavicle Fracture

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Relationship between the lateral acromion angle and postoperative persistent pain of distal clavicle fracture treated with clavicle hook plate

Journal of Orthopaedic Surgery and Research ◽

10.1186/s13018-020-01737-z ◽

2020 ◽

Vol 15 (1) ◽

Author(s):

Kailun Wu ◽

Xinlin Su ◽

Stephen J. L. Roche ◽

Michael F. G. Held ◽

Huilin Yang ◽

...

Keyword(s):

Clavicle Fracture ◽

Persistent Pain ◽

Hook Plate ◽

Distal Clavicle ◽

Distal Clavicle Fracture ◽

Clavicle Hook Plate

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Clinical efficacies of coracoclavicular ligament reconstruction using suture anchor versus hook plate in the treatment of distal clavicle fracture

Orthopaedics & Traumatology Surgery & Research ◽

10.1016/j.otsr.2017.07.006 ◽

2017 ◽

Vol 103 (8) ◽

pp. 1287-1293 ◽

Cited By ~ 9

Author(s):

H.W. Yan ◽

L. Li ◽

R.C. Wang ◽

Y. Yang ◽

Y. Xie ◽

...

Keyword(s):

Ligament Reconstruction ◽

Suture Anchor ◽

Clavicle Fracture ◽

Hook Plate ◽

Coracoclavicular Ligament ◽

Distal Clavicle ◽

Distal Clavicle Fracture ◽

Coracoclavicular Ligament Reconstruction

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

Clinics in Shoulder and Elbow ◽

10.5397/cise.2018.21.4.227 ◽

2018 ◽

Vol 21 (4) ◽

pp. 227-233

Author(s):

Byungil Yoon ◽

Jae Yoon Kim ◽

Jae Sung Lee ◽

Hyoung Seok Jung

Keyword(s):

Locking Plate ◽

Metal Removal ◽

Clavicle Fracture ◽

Hook Plate ◽

Plate Versus ◽

Bony Union ◽

Distal Clavicle ◽

Distal Clavicle Fracture ◽

Plate Group ◽

Coracoclavicular Distance

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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Os acromiale may be a contraindication of the clavicle hook plate: case reports and literature review

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-04841-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Qi Sun ◽

Ming Cai ◽

Xiaoming Wu

Keyword(s):

Acromioclavicular Joint ◽

Case Reports ◽

Clavicle Fracture ◽

Hook Plate ◽

Acromioclavicular Joint Dislocation ◽

Distal Clavicle ◽

Distal Clavicle Fracture ◽

Joint Dislocation ◽

Os Acromiale ◽

Clavicle Hook Plate

Abstract Background Os acromiale can be potentially missed or misdiagnosed as acromion fracture, and this can affect treatment determination if it is complicated with an ipsilateral shoulder injury. The clavicle hook plate is a widely used technique for distal clavicle injuries, leading to transacromial erosion, particularly when in the presence of os acromiale. Case presentation A 70-year-old man and a 78-year-old man who had limited mobility and severe pain in their right shoulders following falls attended the emergency center. Both patients were diagnosed with os acromiale with CT or MRI and acute distal clavicle fracture or acromioclavicular joint dislocation. Following a comprehensive evaluation, os acromiale may limit the application of a clavicle hook plate due to potential transacromial erosion. The distal clavicle fracture with ipsilateral os acromiale received treatment with a volar radius locking T plate, and the acromioclavicular joint dislocation with ipsilateral os acromiale was reconstructed using suture anchors. Both yielded satisfactory outcomes and voided transacromial erosion. Conclusions Ipsilateral os acromiale may be a relative contraindication to the clavicle hook plate. An axillary lateral radiograph is recommended to detect potential os acromiale in patients using a hook plate.

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