Clinical outcomes of a combined osteoligamentous reconstruction technique of Neer Type IIB distal clavicle fractures

2021 ◽  
Vol 25 ◽  
pp. 134-139
Author(s):  
Cody R. Perskin ◽  
Nirmal C. Tejwani ◽  
Laith M. Jazrawi ◽  
Philipp Leucht ◽  
Kenneth A. Egol
Keyword(s):  
Clinical Outcomes ◽  
Reconstruction Technique ◽  
Distal Clavicle ◽  
Clavicle Fractures ◽  
Neer Type Iib ◽  
Distal Clavicle Fractures

scholarly journals Treatment of unstable distal clavicle fractures (Neer type IIb): a modified system using a miniature locking plate with a single button

2021 ◽  
Vol 49 (6) ◽  
pp. 030006052110225
Author(s):  
Hua Ying ◽  
Jihuan Wang ◽  
Yuehua Sun ◽  
Kerong Dai ◽  
Chao Yu ◽  
...  
Keyword(s):  
Los Angeles ◽  
Locking Plate ◽  
Constant Score ◽  
Shoulder Injuries ◽  
Distal Clavicle ◽  
Clavicle Fractures ◽  
The Mean ◽  
Neer Type Iib ◽  
Distal Clavicle Fractures

Distal clavicle fractures are common in patients with shoulder injuries. We retrospectively evaluated the clinical outcomes of a novel fixation technique using a miniature locking plate with a single button in patients with distal clavicle fractures associated with coracoclavicular ligament disruption. The study involved seven patients with distal clavicle fractures with a follow-up period of 12 months. All patients were diagnosed with type IIb fractures according to the Neer classification. The distal clavicle fracture was fixed with a miniature locking plate, and the coracoclavicular ligaments were reconstructed using a single button. Functional outcomes were assessed at the final follow-up visit. At the 1-year follow-up, all patients had achieved radiographic union. There were no cases of nonunion or osteolysis. The mean Constant score at the final follow-up was 88 ± 5.13 (range, 78–93); the mean Disabilities of the Arm, Shoulder and Hand score was 19.17 ± 7.70 (range, 11.67–25); and the mean University of California Los Angeles score was 30 ± 2.52 (range, 25–33). In summary, internal fixation using a miniature locking plate and coracoclavicular reconstruction with a single button is a reliable surgical technique for restoring stability in patients with Neer type IIb distal clavicle fractures.

scholarly journals Comparison of the efficacy of a distal clavicular locking plate with and without a suture anchor in the treatment of Neer IIb distal clavicle fractures

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Hua Xu ◽  
Wen Jun Chen ◽  
Xiao Cheng Zhi ◽  
Shi Chang Chen
Keyword(s):  
Clinical Outcomes ◽  
Locking Plate ◽  
Suture Anchor ◽  
Early Stage ◽  
Locking Plates ◽  
Suture Anchors ◽  
Distal Clavicle ◽  
Application Procedure ◽  
Clavicle Fractures ◽  
Distal Clavicle Fractures

Abstract Background To compare the clinical outcomes between the use of a distal clavicular locking plate alone and the combined use of a plate and a coracoclavicular suture anchor in the treatment of Neer IIb distal clavicle fractures and to discuss the application procedure of suture anchors. Methods This is a retrospective study. Thirty-four patients with unilateral Neer IIb distal clavicle fractures who underwent open reduction and internal fixation with a distal clavicular locking plate only (16 patients) or with both a plate and a coracoclavicular suture anchor (18 patients) were evaluated. The main observation data included the Constant-Murley Shoulder Function Score (CMS), rate of postoperative complications, and union time. Results The distal clavicular locking plate and coracoclavicular suture anchor combination group had better outcomes in the Constant-Murley score (94.6 ± 4.5 vs. 90.1 ± 9.5) (P < 0.05) and a shorter union time (13.9 ± 2.3 vs. 16.1 ± 3.0) (P < 0.05) than the locking plate only group did, and the rate of complications showed no significant difference, 16.7% vs. 31.2% (5/16) (P>0.05). Conclusions Both methods achieved good results in the treatment of Neer IIb distal clavicle fractures; however, the use of both locking plates and coracoclavicular suture anchors can provide more stability in the early stage after operation than can the use of locking plates alone, which can make the sped of union quicker and result in better clinical outcomes. For elderly patients with comminuted Neer IIb distal clavicle fractures, a locking plate combined with a suture anchor is recommended to provide more stability in the early stage after the operation.

A Comparison of Three Fixation Strategies in the Treatment of Neer Type IIB Distal Clavicle Fractures

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
John Garlich ◽  
Milton Little ◽  
Trevor J. Nelson ◽  
Sam A. Eberlein ◽  
Carl-Henri Monfiston ◽  
...  
Keyword(s):  
Distal Clavicle ◽  
Clavicle Fractures ◽  
Neer Type Iib ◽  
Distal Clavicle Fractures

Treatment of Unstable Distal Clavicle Fractures (Neer type IIb): A Modified System using a Miniature Locking Plate with a Single Button

2020 ◽  
Author(s):  
Hua Ying ◽  
Jihuan Wang ◽  
Yuehua Sun ◽  
Kerong Dai ◽  
Chao Yu ◽  
...  
Keyword(s):  
Locking Plate ◽  
Surgical Techniques ◽  
Dash Score ◽  
Shoulder Injuries ◽  
Distal Clavicle ◽  
Coracoclavicular Ligaments ◽  
Clavicle Fractures ◽  
Neer Type Iib ◽  
Distal Clavicle Fractures

Abstract Background: Distal clavicle fractures were common in shoulder injuries. This study described the novel fixation technique using a miniature locking plate with a single button and reported its clinical outcomes obtained in patients with distal clavicle fractures associated with coracoclavicular ligaments disruption. Methods: Seven patients with distal clavicle fractures were included with a follow-up period of 12 months. All patients were diagnosed type IIb fractures according to the Neer classification. Distal clavicle fracture was fixed with a miniature locking plate and coracoclavicular ligaments were reconstructed using a single button. Functional outcomes were assessed at the final follow-up visit.Results: At 1-year follow-up, all patients had achieved radiographic union. There were no cases of nonunion or osteolysis. Mean Constant score at final follow-up was 88±5.13 (range, 78-93). Mean DASH score was 19.17±7.70 (range, 11.67-25). Mean UCLA score was 30±2.52 (range, 25-33).Conclusions: Internal fixation using a miniature locking plate and coracoclavicular reconstruction with a single button were reliable surgical techniques for restoring stability in patients with Neer type IIb distal clavicle fractures.

Revising the modified Neer classification for distal clavicle fractures: description and reliability

Injury ◽  
2021 ◽  
Author(s):  
Yin Zhang ◽  
Pei Yu ◽  
Chengyu Zhuang ◽  
Jingfeng Liu ◽  
Gen Li ◽  
...  
Keyword(s):  
Distal Clavicle ◽  
Neer Classification ◽  
Clavicle Fractures ◽  
Distal Clavicle Fractures

scholarly journals Precontoured Superior Locked Plating of Distal Clavicle Fractures: A New Strategy

2011 ◽  
Vol 469 (12) ◽  
pp. 3344-3350 ◽  
Author(s):  
Jaron R. Andersen ◽  
Matt P. Willis ◽  
Ryan Nelson ◽  
Mark A. Mighell
Keyword(s):  
Distal Clavicle ◽  
Locked Plating ◽  
New Strategy ◽  
Clavicle Fractures ◽  
Distal Clavicle Fractures

Analysis of Treatment Results of Unstable Distal Clavicle Fractures Using Hook Plate

2014 ◽  
Vol 49 (5) ◽  
pp. 374 ◽  
Author(s):  
Ho-Seung Jeon ◽  
Young-Kyun Woo ◽  
Seok-Ha Hwang ◽  
Seung-Pyo Suh ◽  
Seo-Goo Kang ◽  
...  
Keyword(s):  
Hook Plate ◽  
Distal Clavicle ◽  
Treatment Results ◽  
Clavicle Fractures ◽  
Distal Clavicle Fractures

scholarly journals Treatment of Distal Clavicle Fractures using a Scorpion Plate and Influence of Timing on Surgical Outcomes: A Retrospective Cohort Study of 105 Cases

2019 ◽  
Author(s):  
Ryogo Furuhata ◽  
Masaaki Takahashi ◽  
Teppei Hayashi ◽  
Miyu Inagawa ◽  
Aki Kono ◽  
...  
Keyword(s):  
Treatment Group ◽  
Postoperative Complications ◽  
Surgical Outcomes ◽  
Plate Fixation ◽  
Delayed Union ◽  
Distal Clavicle ◽  
Delayed Treatment ◽  
Clavicle Fractures ◽  
The Difference ◽  
Distal Clavicle Fractures

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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