Comparative Analysis of Clavicular Hook Plate Versus Distal Radius Volar Plate With Coracoclavicular Augmentation for Neer’s Type 2b Lateral Clavicle Fractures: A Prospective Study

Bandebuche, Ajinkya R; Rai, Abhishek Kumar; Bansal, Dixit; Gupta, Devanshu; Naidu, Ajay

doi:10.7759/cureus.22969

Cited by 2 publications

(5 citation statements)

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“…Three hundred twelve were removed after reviewing abstracts. Twelve texts were fully screened and considered eligible for the inclusion in this comparative meta-analysis [4,8,[11][12][13][14][15][16][17][18][19][20].…”

Section: Characteristics Of Included Datamentioning

confidence: 99%

“…Twelve comparative studies [4,8,[11][12][13][14][15][16][17][18][19][20] were included, 10 retrospective, one prospective and one prospective randomized comparative study. All were reviewed and pooled to conduct this meta-analysis.…”

Section: Assessment Of Study Qualitymentioning

confidence: 99%

“…Nine studies [4,8,[11][12][13][14]17,19,20] out of the 12 studies included in the meta-analysis addressed the Constant score with a total of 425 patients: 232 (54.5%) and 193 (45.4%) in each of the HP and DLP groups, respectively. The study by Bhatia and Page [20] shows a "good" CMS mean in both the HP and DLP groups.…”

Section: Assessment Of Study Qualitymentioning

confidence: 99%

“…Two studies, Li et al [12] and Das et al [17] also showed a "Good" CMS mean in the HP group, whereas the same studies showed a "Very good" score in the DLP group. The remaining six studies [4,8,11,13,14,19] demonstrated a "Very good" CMS mean in both groups (HP and DLP) with a mean score of >86. In general, the overall data collection and analyses of the CMS leaned towards the DLP group, nonetheless, there was no statistically significant difference (P=0.06), (Figure 2).…”

Section: Assessment Of Study Qualitymentioning

confidence: 99%

“…The scores of the VAS could be created in reflection of the final results, a VAS >5 represents more severe pain or uncontrollable symptoms, whereas <2 indicates a wellcontrolled symptoms [25]. Five studies [11,12,16,19,20] reviewed the VAS comparing the mean in the two groups with a mean follow up duration of 22.02 months (ranging from six to 60 months). Number of patients involved in the evaluation were 111 and 92 in the HP and DLP groups, respectively.…”

Section: Figure 2: Forest Plot For the Comparison Of Constant-murley ...mentioning

confidence: 99%

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Hook Plate Versus Distal Locking Plate for the Fixation of Unstable Distal Clavicle Injuries, Outcomes and Complications: A Meta-Analysis

Elrih¹,

Quinlan²

2022

Cureus

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Numerous interventions are advised for the surgical management of distal clavicle fractures. Hook plate (HP) and distal locking plate (DLP) are among the commonly used techniques; nonetheless, no single procedure is deemed to be the benchmark treatment. Thus, the aim of the study is to conduct a comparative analysis, hopefully, to recommend the superior method between the two operations.PubMed, Embase via Ovid and Web of science were electronically searched between January 2000 and to date for studies directly comparing HP to DLP. Comparative retrospective/prospective and randomized studies were incorporated. Constant-Murley score "CMS" at a minimum of 12 months, pain visual analogue scale "VAS", coracoclavicular distance "CCD" and reported complications were analysed. Review manager software was used for the statistical analyses.The total number of patients was 523; 274 (52.3%) with HP and 249 (47.6%) with DLP, 81 of which were associated with CC reconstruction. The mean follow up was 38.7 and 37.03 months for HP and DLP, respectively. CMS leaned towards the DLP group with no statistically significant difference (P=0.06). VAS was in favour of the DLP with again no statistically significant difference (P=0.12). In terms of CCD, the comparison favoured the HP with a lesser CCD postoperatively and a statistically significant difference (P<0.05). Complications were significantly higher in the HP group (P<0.0001).Contrary to our hypothesis, though HP did show a better radiological outcome; nonetheless, DLP did demonstrate a better functional result with a lesser rate of complications and the ability to retain the implant avoiding a second surgery.

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Section: Characteristics Of Included Datamentioning

confidence: 99%

Section: Assessment Of Study Qualitymentioning

confidence: 99%

Section: Assessment Of Study Qualitymentioning

confidence: 99%

Section: Assessment Of Study Qualitymentioning

confidence: 99%

Section: Figure 2: Forest Plot For the Comparison Of Constant-murley ...mentioning

confidence: 99%

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Hook Plate Versus Distal Locking Plate for the Fixation of Unstable Distal Clavicle Injuries, Outcomes and Complications: A Meta-Analysis

Elrih¹,

Quinlan²

2022

Cureus

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Radiological and clinical comparison of surgical and conservative treatment of distal fractures of the clavicle (Neer type 2b)

Doğan,

Hançerli

2023

Preprint

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Introduction: In this study, we aimed to compare the patients we treated conservatively with those treated surgically in distal Neer type 2b fractures of the clavicle radiologically and clinically. Patients and Methods: Between May 2015 and June 2020, 67 patients who were treated and followed up with the diagnosis of Neer type 2b distal clavicle fracture were evaluated retrospectively. Thirty-six patients who were followed up conservatively were assigned to Group 1, and 31 patients who were treated surgically were assigned to Group 2. Age, gender, fracture side, fracture type and follow-up period of the patients included in the study were calculated. Preoperative fracture displacement amounts were measured radiologically. As a result of conservative or surgical treatment, the distance between the coracoid process and the clavicle (Coracoclavicular (CC) distance) in the final radiological image was measured. The clinical result at the last follow-up was made according to the Constant-Murley scoring. Those who developed nonunion were detected. Results Group 1 had a higher mean age compared to Group 2. (p = 0.24) Both groups had a similar distribution in terms of gender, fracture side and follow-up time. (p > 0.05) It was observed that the preoperative displacement amount of Group 2 was higher than Group 1. (p = 0.003) CC distance of Group 2 was higher than Group 1. (p = 0.018) Constant-Murley scores of both groups had similar distribution. (p = 0.086) While uneventful union developed in all patients in Group 2, nonunion was observed in 12 (33%) patients in Group 1. Conclusion Even though Neer type 2b distal clavicle fractures have a high nonunion rate, their effect on the clinical outcome is quite low. They do not need surgical treatment unless symptomatic nonunion develops. Level of evidence: Level 3, Retrospective comparative study

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Comparative Analysis of Clavicular Hook Plate Versus Distal Radius Volar Plate With Coracoclavicular Augmentation for Neer’s Type 2b Lateral Clavicle Fractures: A Prospective Study

Cited by 2 publications

References 10 publications

Hook Plate Versus Distal Locking Plate for the Fixation of Unstable Distal Clavicle Injuries, Outcomes and Complications: A Meta-Analysis

Hook Plate Versus Distal Locking Plate for the Fixation of Unstable Distal Clavicle Injuries, Outcomes and Complications: A Meta-Analysis

Radiological and clinical comparison of surgical and conservative treatment of distal fractures of the clavicle (Neer type 2b)

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