scholarly journals Precontoured Locking Compression Plate with Titanium Alloy Cable System: In Treatment of Neer Type IIb Distal Clavicle Fracture

2021 ◽  
Author(s):  
Zheng Xie ◽  
Mengxiong Song ◽  
Jun Zhou ◽  
Gang Yin ◽  
Haodong Lin
Keyword(s):  
Titanium Alloy ◽  
Clavicle Fracture ◽  
Locking Compression Plate ◽  
Distal Clavicle ◽  
Cable System ◽  
Distal Clavicle Fracture ◽  
Compression Plate ◽  
Neer Type Iib

scholarly journals Results of minimal invasive coracoclavicular fixation by double button lift-up system in Neer type II distal clavicle fractures

2017 ◽  
Vol 25 (1) ◽  
pp. 230949901668472 ◽  
Author(s):  
Süleyman Semih Dedeoğlu ◽  
Yunus İmren ◽  
Haluk Çabuk ◽  
Murat Çakar ◽  
Samet Murat Arslan ◽  
...  
Keyword(s):  
Functional Outcomes ◽  
Clavicle Fracture ◽  
Rehabilitation Program ◽  
Minimal Invasive ◽  
X Rays ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture ◽  
Shoulder Scores ◽  
Coracoclavicular Fixation

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.

scholarly journals Distal Clavicle Fracture Repair: Clinical Outcomes of a Novel Surgical Technique

2021 ◽  
Vol 37 (1) ◽  
pp. e51-e52
Author(s):  
David A. Porter ◽  
Raed J. Narvel ◽  
Robert Hassan ◽  
Charles J. Jordan ◽  
Gautam A. Yagnik
Keyword(s):  
Surgical Technique ◽  
Clinical Outcomes ◽  
Clavicle Fracture ◽  
Fracture Repair ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture

scholarly journals Refracture after locking compression plate removal in displaced midshaft clavicle fractures after bony union: a retrospective study

2021 ◽  
Author(s):  
Ho-Youn Park ◽  
Seok-Jung Kim ◽  
Yoo-Joon Sur ◽  
Jae-Woong Jung ◽  
Chae-Gwan Kong
Keyword(s):  
Clavicle Fracture ◽  
Locking Compression Plate ◽  
Bony Union ◽  
Related Factors ◽  
Patient Demographics ◽  
Radiographic Measurements ◽  
Significant Difference ◽  
Compression Plate ◽  
Segmental Fractures ◽  
Clavicle Fractures

Background: A midshaft clavicle fracture is a common fracture that typically responds well to open reduction and internal fixation (ORIF). However, refracture can occur after implant removal (IR). This study aimed to analyze the rate of refracture and related factors after removal of the locking compression plate (LCP) for displaced midshaft clavicle fractures. Methods: We retrospectively reviewed the medical records of 201 patients who had undergone ORIF with LCP for midshaft clavicle fractures after IR after bony union from January 2011 to May 2018 at our institute. We evaluated basic demographic characteristics and radiographic parameters. All patients were treated with an LCP for primary fracture. The patients were divided into two groups: a refracture group that experienced a second fracture within 1 year after IR and a no-fracture group.Results: There were four cases (1.99%) of refracture; three were treated conservatively, while one was treated surgically. All patients achieved bony union. The average interval between refracture and IR was 64 days (range, 6–210 days). There was a significant difference in classification of fractures (AO Foundation/Orthopaedic Trauma Association [AO/OTA] classification) between the two groups. However, other patient demographics and radiographic measurements between refracture and IR, such as bone diameter, showed no significant difference between the two groups. Conclusions: This study showed that one in 50 patients suffered from refracture after removal of the LCP. Thus, if patients desire IR, the surgeon should explain that there is a relatively higher possibility of refracture for cases with simple or segmental fractures than for other types of fracture.

scholarly journals REHABILITATION OF A CONSERVATIVELY MANAGED CLAVICULAR FRACTURE

2021 ◽  
Vol 10 (4) ◽  
pp. 3175-3178
Author(s):  
Om C Wadhokar
Keyword(s):  
Clavicle Fracture ◽  
Shoulder Girdle ◽  
Pectoral Muscle ◽  
Rehabilitation Program ◽  
Clavicular Fracture ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture ◽  
Breathing Exercises ◽  
Postural Correction ◽  
Shoulder Blade

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.

Distal clavicle fracture radiography and treatment: a pictorial essay

2018 ◽  
Vol 25 (3) ◽  
pp. 311-319 ◽  
Author(s):  
Claire K. Sandstrom ◽  
Joel A. Gross ◽  
Stephen A. Kennedy
Keyword(s):  
Clavicle Fracture ◽  
Distal Clavicle ◽  
Distal Clavicle Fracture ◽  
Pictorial Essay
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