The Treatment of Distal Clavicle Fractures With Coracoclavicular Ligament Disruption

Bezer, Murat; Aydın, Nuri; Güven, Osman

doi:10.1097/01.bot.0000164593.04348.e5

Cited by 55 publications

(34 citation statements)

References 19 publications

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“…The rotational movement that occurs at the acromioclavicular joint is transferred to the fracture site, making the lateral end mobile, resulting in nonunion. Consequently, various surgical modalities have been advocated with various techniques of fixation with better outcomes [7][8][9][10][11][12][13][14][15][16][17][18]. Gaining control over such rotational movement with some sort of semi rigid to rigid fixation would prevent nonunion.…”

Section: Discussionmentioning

confidence: 99%

“…However, a few series of coracoclavicular screws [7][8][9], tension bands [10][11][12], Kirshner wires [1,13], hook plates [14,15] and contoured locked and non locked plates [16][17][18] have been published with encouraging results in all series. Feared complications of open reduction and internal fixation (ORIF) include fixation failure, pin migration, refracture, malunion and extensive tissue dissection during hardware removal [12,19].…”

Section: Introductionmentioning

confidence: 99%

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Modified tension band for displaced type 2 lateral end clavicle fractures

Rijal

Sagar

Joshi³

et al. 2012

International Orthopaedics (SICOT)

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Purpose Displaced type 2 lateral end clavicle fractures have a tendency to delayed union or non-union. Various methods of stabilisation of the displaced lateral end fractures are described. The increasing use of implants to fix such fractures also necessitates extensive dissection for implant retrieval. Adequate reduction and minimal tissue trauma during implant placement and removal would be ideal modalities for fixation of such fractures. Methods All displaced type 2 lateral end clavicle fractures fulfilling our inclusion criteria were reduced with a small anterosuperior incision. Anteroposterior drill holes were made in both the fragments and a nonabsorabable polyester suture was passed through. The fracture was reduced and fixed with transacromial smooth Kirshner wires. The suture was tied with the knot superiorly in a figure-eight manner. The arm was supported in an arm pouch for six weeks. The Kirshner wire was routinely removed after six weeks in an out-patient department. Clinico-radiological outcome was studied at six weeks, and monthly intervals thereafter until union. Results All 16 fractures united. The mean average age of patients was 36.25 years with a SD of 11.35. There was no loss of reduction even after removal of Kirshner wires at six weeks. The mean average time of union was 10.75 weeks with a SD of 3.92. All patients regained near normal range of motion, and the mean average constant score at the end of one year was 98.37 with a SD of 2.87. All patients returned to preinjury level by the one-year follow-up. The range of motion remained the same in those who were followed up in successive years. Skin impingement with bent Kirshner wires were noted in four cases. Kirshner wires backed out in one case before six weeks but there was no loss of reduction. Infection and Kirshner wire breakage were not noted in our series. Conclusion The clinico-radiological outcomes with our modified tension band fixation for displaced type 2 lateral end clavicle fractures were encouraging and comparable with earlier studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified tension band for displaced type 2 lateral end clavicle fractures

Rijal

Sagar

Joshi³

et al. 2012

International Orthopaedics (SICOT)

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“…[16,18] Bezer ve ark. [29] korakoklaviküler ligaman hasarı bulunan 10 distal klavikula kırıklı hastaya sütür ankor korakoklavikü-ler askı yöntemini K-teli ile kombine etmişler, mükem-mel sonuçlar elde etmişlerdir. Korakoklaviküler vida fiksasyonu; sütür ankor ve çoklu emilemeyen dikişle fiksasyona göre daha güvenli fiksasyon sağlar.…”

Section: Discussionunclassified

Effects of Periacromial Kirchner Wire Fixation on Shoulder Range of Motion in Surgical Management of Distal Clavicula Fractures

Kibar¹,

Kurtulmuş²,

Sağlam³

et al. 2014

J Kartal TR

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ÖzetAmaç: Çalışmamızda distal klavikula kırıklarının cerrahi tedavisinde periakromiyal intramedüller K-teli fiksasyonunun omuz eklem hareketleri üzerine etkisini inceledik. Bulgular:Hastaların hepsinde kaynama elde edildi. Kaynama süresi 47.19±9.35 gündü. Hastaların %12.9'unda (n=4) pin dibi enfeksiyonu, %6.5'inde (n=2) keloid, %6.5'inde (n=2) pin migrasyonu oluştu. Ameliyat sonrası majör komplikasyon görülmedi. Yaş ile Constant skoru arasında ters yönde (Constant skoru arttığında, yaş düşmekte) %82.6 ilişki saptandı (r=-0.826; p=0.001), istatistiksel olarak anlamlı düzeyde farklılık saptandı. Cinsiyetlere göre Constant skorları arasında istatistiksel olarak anlamlı farklılık saptanmadı (p>0.05). Ayrıca komplikasyonlara göre yaş ortalamaları ve cinsiyet dağılım-ları arasında anlamlı farklılık yoktu (p>0.05).Sonuç: K-teli fiksasyonu minimal invaziv bir yöntemdir. Diğer avantajıysa K-telleri anestezi ve ek bir girişim gerektirmeksizin poliklinik şartlarında alınabilir. Distal klavikula kırıklarında peri-akromiyal K-teliyle tespit, yüksek kaynama oranı, iyi fonksiyonel sonuçlar ve kabul edilebilir komplikasyonlarıyla güvenilir bir yöntemdir.Anahtar sözcükler: Distal klavikula kırığı; eklem hareket açıklı-ğı; Kirschner teli; omuz eklemi. SummaryBackground: In our study, we aimed to evaluate the effects of periacromial kirchner wire fixation on shoulder function in distal clavicle fractures.

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“…The cortical continuity, static fracture line gap, reconstitution of medullary cavity, in consecutive radiographs and hard fracture site were clinical evidences of union at fracture site. (9,10,11,12) RESULTS Only in single case, the K-wire got loosened and migrated from its place prior six weeks, but reduction remained unaltered. Infection and non-healing wounds were not reported in our series.…”

Section: Medically Fit Patientsmentioning

confidence: 99%