Response to Van Tongel and De Wilde regarding: “A biomechanical comparison of a novel technique for distal clavicle fracture repair versus locked plating”

2020 ◽  
Vol 29 (3) ◽  
pp. e97
Author(s):  
David A. Porter ◽  
Gautam P. Yagnik
2021 ◽  
Vol 37 (1) ◽  
pp. e51-e52
Author(s):  
David A. Porter ◽  
Raed J. Narvel ◽  
Robert Hassan ◽  
Charles J. Jordan ◽  
Gautam A. Yagnik

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668472 ◽  
Author(s):  
Süleyman Semih Dedeoğlu ◽  
Yunus İmren ◽  
Haluk Çabuk ◽  
Murat Çakar ◽  
Samet Murat Arslan ◽  
...  

Aim: We aimed to evaluate clinical and functional outcomes of indirect fracture reduction performed by coracoclavicular fixation with minimal invasive double button lift-up system in Neer type IIa unstable fractures of distal clavicle. Material and methods: 22 patients with Neer type 2 distal clavicle fracture were enrolled in that prospective study. All patients underwent indirect reduction and osteosynthesis performed by coracoclavicular fixation with minimal invasive double button lift-up system. Postoperative follow-up was carried out clinically and radiologically with plain X-rays and utilization of Constant and American Shoulder and Elbow Surgeons Standardized Shoulder Assessment (ASES) shoulder scores. Mean follow-up time was 15 months. A standard sling was applied for 2 weeks, postoperatively. Rehabilitation program was started on postoperative day 1. Results: Mean age was 39 (range: 21–60), 18 of the patients were male. Right dominant extremity was affected in 14 patients. Mean duration of the surgical intervention was 40 min (range: 30–55 min). Mean union time was found to be 14 weeks (range: 7–21 weeks). Mean postoperative ASES and Constant scores were 79.9 (66.9–88.3) and 82.2 (71–100), respectively. The duration of return to normal daily activities were found to be 4.5 months. Any loss of reduction, AC joint arthrosis, and clavicular shortening were not detected in X-rays. Conclusion: This study has demonstrated that indirect osteosynthesis performed by coracoclavicular fixation with double button lift-up system in the treatment of unstable Neer type IIa fractures of the distal clavicle had successful clinical, radiological, and functional outcomes.


2021 ◽  
Vol 10 (4) ◽  
pp. 3175-3178
Author(s):  
Om C Wadhokar

The collarbone, or wishbone, is a thin, S-shaped bone about 6 inches (15 cm) long and serves as a support between the shoulder blade and the sternum (sternum). Clavicle fracture so occur as a result of injury or trauma. The most common site of fracture is the junction between the two curvatures of the bone, which is the weakest point. The displacement post fracture is most common in clavicular fracture because the attachment of the muscle sternocleidomastoid pulls the Sternal head upwards and the pectoral muscle pulls the distal clavicle downwards. After a distal clavicle fracture, radiographic nonunion has been identified in 10% to 44% of patients. Most of clavicular fractures are managed non-surgically by physical therapy which consists of a rehabilitation program without hampering the fracture healing, the rehabilitation consists of pain reduction, improving strength and range of motion of the shoulder, Scapular and neck muscles and postural correction exercises in addition to a brace to support the upper limb as the clavicle is the bone connecting the Axilla to the shoulder girdle. And the patient is started with medical management which usually consist of analgesics. 62 year old male patient with left clavicle fracture was diagnosed on x-ray after a hit from a bullock cart. Following this incident the patient underwent a prompt series of physical rehabilitation which included strengthening exercises, thoracic expansion exercises, breathing exercises. The case report suggests that a physiotherapy treatment procedure led to the improvement of functional goals progressively and significantly.


2019 ◽  
Vol 28 (5) ◽  
pp. 982-988 ◽  
Author(s):  
Gautam P. Yagnik ◽  
Paul C. Brady ◽  
Joseph P. Zimmerman ◽  
Charles J. Jordan ◽  
David A. Porter

2018 ◽  
Vol 25 (3) ◽  
pp. 311-319 ◽  
Author(s):  
Claire K. Sandstrom ◽  
Joel A. Gross ◽  
Stephen A. Kennedy

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