Operative management of distal clavicle fractures: Clinical results

Injury ◽  
2009 ◽  
Vol 40 ◽  
pp. S17
Author(s):  
M. Savvidis ◽  
A. Boutsiadis ◽  
V. Vraggalas ◽  
G. Gouvas
2018 ◽  
Vol 46 (11) ◽  
pp. 4678-4683 ◽  
Author(s):  
Jian Xiong ◽  
Jian-Hai Chen ◽  
Yu Dang ◽  
Dian-Ying Zhang ◽  
Zhong-Guo Fu ◽  
...  

Objective This study was performed to compare the clinical efficacy of three internal fixation methods for distal clavicle fractures (Neer type II): clavicular hook plate (Group A), anatomical plate (Group B), and arthroscopic Endobutton (Group C). Methods From 2001 to 2014, 58 patients with Neer type II distal clavicle fractures were treated at our institution. The clinical results were assessed with the visual analog scale (VAS), Constant score, and Simple Shoulder Test (SST) score. Results All patients had anatomic reduction and bone healing at the final follow-up. Groups B and C had considerably less intraoperative blood loss than Group A. The incision was significantly shorter in Group C than in Groups A and B. The mean VAS score was significantly higher in the affected than unaffected shoulder. The Constant and SST scores were significantly higher in the unaffected than affected shoulder. The VAS, Constant, and SST scores of the affected shoulders were not significantly different among the three groups. Conclusions Arthroscopic Endobutton fixation has long-term clinical results similar to those of other surgical protocols for distal clavicle fractures (Neer type II). We recommend this technique because of less blood loss, shorter incision length, and less shoulder irritation than other methods.


Injury ◽  
2021 ◽  
Author(s):  
Yin Zhang ◽  
Pei Yu ◽  
Chengyu Zhuang ◽  
Jingfeng Liu ◽  
Gen Li ◽  
...  

2011 ◽  
Vol 469 (12) ◽  
pp. 3344-3350 ◽  
Author(s):  
Jaron R. Andersen ◽  
Matt P. Willis ◽  
Ryan Nelson ◽  
Mark A. Mighell

2014 ◽  
Vol 49 (5) ◽  
pp. 374 ◽  
Author(s):  
Ho-Seung Jeon ◽  
Young-Kyun Woo ◽  
Seok-Ha Hwang ◽  
Seung-Pyo Suh ◽  
Seo-Goo Kang ◽  
...  

2019 ◽  
Author(s):  
Ryogo Furuhata ◽  
Masaaki Takahashi ◽  
Teppei Hayashi ◽  
Miyu Inagawa ◽  
Aki Kono ◽  
...  

Abstract Background Plate fixation is the established method of treating unstable distal clavicle fractures. However, the appropriate timing of surgery for acute distal clavicle fractures remains unclear. The present study aimed to evaluate the clinical outcomes of osteosynthesis using a Scorpion plate and to assess the influence of surgery timing on the surgical outcomes for acute unstable distal clavicle fractures. Methods We retrospectively reviewed 105 patients who underwent fixation for acute unstable distal clavicle fractures (Neer type II and V) using the Scorpion plate between 2008 and 2018. Patients were divided into early (45 patients) and delayed (60 patients) treatment groups based on the timing of the surgical intervention (within or after seven days). The outcomes were postoperative complications (delayed union, peri-implant fracture, plate loosening, plate-related pain, and stiffness). We evaluated the outcomes from X-ray radiographs and clinical notes.Results Among the 105 patients, delayed union, plate loosening, plate-related pain, and stiffness were observed in six patients (5.7%), four patients (3.8%), seven patients (6.7%), and one (1.0%) patient, respectively. The delayed union rate was significantly higher in the delayed treatment group than that in the early treatment group (P=0.036). Although the difference was not significant, plate loosening and stiffness were only observed in the delayed treatment group. Conclusion Our results demonstrated that osteosynthesis using Scorpion plates achieved satisfactory surgical outcomes for unstable distal clavicle fractures . In addition, this study suggested that performing surgery within six days after injury is recommended to reduce postoperative complications .


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