A method for internal fixation of unstable distal clavicle fractures: Early observations using a new technique

Comparison of the efficacy of a distal clavicular locking plate versus a clavicular hook plate in the treatment of unstable distal clavicle fractures and a systematic literature review

“…We observed a high rate of union (97.2 %) and a low complication rate (5.6 %) using this treatment strategy. Our results were compatible with the results of literature [14][15][16][17][18][19][20] and only one nonunion occurred in six months in our series. Although the functional shoulder score showed no difference between the distal clavicular locking plate and clavicular hook plate groups, the distal clavicular locking plate group had greater ability to return to their previous work in three months after surgery compared to the clavicular hook plate group.…”

“…Studies have reported excellent results of distal clavicle fractures treated with locking plate [14,15,17,26,29,30]. Treatment for unstable distal clavicle fractures using a locking T-plate and a CC PDS (polydioxansulfate) cerclage can provide good and reliable clinical results and a 100 % union rate [16].…”

“…Since not all studies reported the functional outcome scores of the distal clavicle fractures and they used different functional evaluation instruments, it was difficult to analyse and compare the function between the different treatment modalities. Consequently, we reviewed and compared the functional outcome scores evaluated by Constant score between the hook plate group (nine studies) [6,7,[9][10][11][12][13]31, present study] and the locking plate group (eight studies) [14][15][16][17][18][19][20]30, present study] in distal clavicle fractures. The mean Constant scores were 91.9 and 93.6 in the hook plate and locking plate groups, respectively.…”

“…Today, there is a wide variety of surgical techniques for the treatment for these fractures. If surgery of distal clavicle fractures is indicated, many implants or surgical methods are available, including Kirschner wires [3], coracoclavicular screw fixation [4,5], hook plate fixation [6][7][8][9][10][11][12][13], or locking plate fixation [14][15][16][17][18][19][20]. Although there are many types of operative procedures, no procedures are considered to be the gold standard treatment.…”

Coracoclavicular Ligament Suture Augmentation with Anatomical Locking Plate Fixation for Distal Clavicle Fracture

“…15) Furthermore, superior displacement of medial fragment by muscle action is aggravated by disrupted CC ligament. 16) We postulated that a small distal fragment can be fixed with a locking plate and superiorly displacing force by disrupted CC ligament can be successfully neutralized with use of suture augmentation. Accordingly, the purpose of this study is to report the clinical and radiological results of open reduction and internal fixation of unstable distal clavicle fracture and suture augmentation of disrupted CC ligament.…”