Internal Fixation Using Clavicle Hook Plates for Distal Clavicle Fractures

Kwang-Yul Kim; Hyung-Chun Kim; Sung-Jun Cho; Su-Han Ahn; Dong-Seon Kim

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자료유형: 학술저널

저자정보: Kwang-Yul Kim (Wallace Memorial Baptist Hospital) Hyung-Chun Kim (Wallace Memorial Baptist Hospital) Sung-Jun Cho (Wallace Memorial Baptist Hospital) Su-Han Ahn (Wallace Memorial Baptist Hospital) Dong-Seon Kim (Wallace Memorial Baptist Hospital)

저널정보: 대한견주관절의학회 대한견주관절의학회지 대한견주관절학회지 제18권 제1호

발행연도: 2015.3

수록면: 21 - 27 (7page)

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Background: To report the radiological and clinical outcomes of internal fixation using distal clavicle hook plates for distal clavicle fractures.
Methods: From April 2008 to December 2012, 32 patients with distal clavicle fractures underwent surgery using an AO hook plate. The reduction was qualified and evaluated according to the radiological findings. The evaluation of the clinical outcomes was performed with the University of California at Los Angeles (UCLA) score, the Korean Shoulder score, and the visual analogue scale (VAS) pain score.
Results: By radiological evaluation, we found that 31 of 32 patients showed anatomical reduction and solid bone union. Although we obtained satisfactory UCLA scores, Korean Shoulder Scale scores, and VAS pain scores, 12 cases of complications were present. We found 4 cases of osteolysis of the acromion, 1 case of nonunion, 3 cases of periprosthetic fractures, 3 cases of subacromial pain, and 1 case of skin irritation. We performed re-operations in 2 patients.
Conclusions: To avoid complications associated with clavicle hook plates, choosing the appropriate hook size and bending of the hook according to the slope of the acromion undersurface is critical. Also, we believe that early removal of clavicle plates may help reduce complications.

#Clavicle #Distal clavicle fracture #Hook plate #Complication

참고문헌 (20)

참고문헌 신청

1. [학술지(정기간행물)] - NEER CS 2nd / 1960 / Nonunion of the clavicle / J Am Med Assoc 172 : 1006 ~ 1011

2. [학술지(정기간행물)] - Edwards DJ / 1992 / Fractures of the distal clavicle : a case for fixation / Injury 23 (1) : 44 ~ 46

3. [학술지(정기간행물)] - Charity RM / 2006 / Fixation failure of the clavicular hook plate : a report of three cases / J Orthop Surg(Hong Kong) 14 (3) : 333 ~ 335

4. [학술지(정기간행물)] - Levy O / 2003 / Simple, minimally invasive surgical technique for treatment of type 2 fractures of the distal clavicle / J Shoulder Elbow Surg 12 (1) : 24 ~ 28

5. [학술지(정기간행물)] - Chen CH / 2002 / Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption / J Trauma 52 (1) : 72 ~ 78

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