Treatment of unstable distal third clavicular fracture with locked distal radius plate

Abdeldayem, Ashraf; Nafea, Waleed Mohammed; Eid, Abdelsalam

doi:10.1016/j.jor.2013.09.008

Cited by 7 publications

(6 citation statements)

References 15 publications

(12 reference statements)

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“…Martetschläger et al, in a study of 30 patients who were managed with a Synthes T plate and additional coracoclavicular-ligament augmentation with use of polydioxanone (PDS) suture, reported that 40% of the patients experienced implant-related pain that necessitated subsequent implant removal 26 . It may be argued that this plate has different characteristics and is thicker than the plates used by Hohmann et al 25 and Abdeldayem et al 24 , which could explain the discrepancy in the rate of implant-related complications. Otherwise, the outcomes were very similar to those reported by Hohmann et al 25 Tension band wiring has been successfully used for the treatment of patellar and olecranon fractures, but only a few reports have described the use of this technique for the stabilization of distal clavicular fractures (Fig.…”

Section: Distal Radial Platesmentioning

confidence: 90%

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Operative Treatment of Neer Type-II Distal Clavicular Fractures

2019

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Deforming forces make it difficult to reduce and maintain reduction of Neer type-II distal clavicular fractures. » Contemporary surgical techniques are associated with high rates of union and good and excellent outcomes. » Plate fixation of distal clavicular fractures does not address horizontal and vertical instability. » Hook-plate fixation has the highest complication rate. » Augmentation of the coracoclavicular ligament is recommended to neutralize the opposing forces. Disclosure: No external funds were received in support of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/ JBJSREV/A433).

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Section: Distal Radial Platesmentioning

confidence: 90%

“…Three studies have evaluated the use of distal radial plates for the fixation of lateral clavicular fractures [24][25][26] (Table III). Distal radial locking plates are generally smaller and thinner than contoured locking plates and therefore should presumably cause less subcutaneous implant irritation (Fig.…”

Section: Distal Radial Platesmentioning

confidence: 99%

Operative Treatment of Neer Type-II Distal Clavicular Fractures

2019

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“…The functional and radiological outcome achieved was satisfactory to the patient with no complications. Ashraf et al studied the results of internal fixation with distal radius volar plate on fifteen patients [ 7 ]. Thirteen patients achieved full range of motion and the other two had minor limitations.…”

Section: Discussionmentioning

confidence: 99%

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

Bandebuche¹,

Rai²,

Bansal³

et al. 2022

Cureus

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BackgroundClavicle fractures are common injuries in the adult population. The commonest site of fracture in the clavicle is the mid-shaft followed by the lateral end fracture. The anatomy and biomechanics of the lateral end clavicle make it prone to be unstable. Conservative management usually fails due to the deforming forces. AimOur study evaluates pain relief, functional outcome, and the union rate in unstable lateral end clavicle fracture fixed by two different modalities of operative management, namely clavicular hook plate fixation and distal radius volar plate fixation. Materials and methodA total of 60 patients with the unstable lateral end of clavicle fracture were evaluated in this study at a single tertiary care center between August 2015 and September 2021. Half of the patients (30 patients) were managed by open reduction and internal fixation with clavicular hook plate. The remaining half (30 patients) underwent open reduction and internal fixation by distal radius volar plate supplemented with coracoclavicular fixation. All patients were followed up for a mean duration of 20 months. The functional outcome was assessed at regular intervals by Constant score and Disability of the Arm, Shoulder and the Hand (DASH) score for a period of one year. ResultThere was significant pain relief and improvement in the functional status of patients. The pain relief was significant in the group managed by distal radius volar plate. The decrease in DASH score and increase in Constant score suggests better functional outcomes in these patients. ConclusionOur study highlights the fact that the distal radius volar plate is an excellent alternative to the hook plate in the treatment of unstable lateral third clavicle fractures. The decrease in pain and improved functional outcome stresses the fact that the volar locking plate is the recent most advancement in the fracture fixation of Neer's type ll fractures. The distal radius volar plate is the recent internal fixation technique to manage unstable lateral end clavicle fractures.

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“…Type V is similar to type II, which involves an avulsion leaving behind an inferior cortical fragment attached to the coracoclavicular ligament [ 2 ]. Initially, Neer suggested using trans-acromial Kirschner wire to stabilise the fracture; however, over the years, several different surgical techniques have been developed for the fixation of the lateral end clavicle fractures [ 3 ]. A recent review by Sambandam et al [ 2 ] discussed different fixation methods.…”

Section: Introductionmentioning

confidence: 99%

“…A recent review by Sambandam et al [ 2 ] discussed different fixation methods. These include pre-contoured locking plates [ 4 ], hook plates [ 5 ], distal radius plates [ 3 ], coracoclavicular screws [ 6 ], flexible coracoclavicular fixation [ 7 ] and intramedullary fixation [ 8 ]. However, these techniques were also accompanied by multiple disadvantages, including wire migration, failure of fixation, irritation of soft tissues, including the rotator cuff, infection, fractures and osteoarthritic changes [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

Distal Radius Plates With Coracoid Suture Anchors for the Fixation of Displaced Lateral End Clavicle Fractures

Ali,

Elamin,

Ibrahim

et al. 2023

Cureus

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Introduction Management of displaced fractures of the lateral end clavicle has always challenged orthopaedic surgeons, due to a high non-union rate, and difficulty achieving stable fixation allowing early mobilisation. Different methods of fixation have been utilised to provide stability and improve healing and functional outcomes. In this series, we evaluate the results of internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Patients and methods We retrospectively reviewed the clinical notes and radiographs of eight consecutive patients with fractures of the lateral end of the clavicle presented to our hospital between January 2016 and December 2017. Patients were treated by open reduction and internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Results All patients achieved full range of motion of the shoulder at eight weeks postoperatively. There were no intra-operative complications. Evidence of bone healing was noted in all cases within eight weeks post-operatively. There were no cases of wound complications, metal work irritation or fixation failures. The pre-morbid level of function was restored following the rehab protocol and physiotherapy. Conclusion Dorsal distal radius plates with suture anchor fixation appear to be a valuable alternative for the treatment of fractures of the lateral end of the clavicle. Coracoclavicular fixation provided and maintained the reduction of the fracture. Good clinical results can be achieved with a low risk of complications and without the need for metalwork removal.

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Treatment of unstable distal third clavicular fracture with locked distal radius plate

Abstract: Fracture Surgery Internal fixationLocked plate a b s t r a c t Background: The ideal surgical fixation for displaced distal clavicle fractures should not

Cited by 7 publications

References 15 publications

Operative Treatment of Neer Type-II Distal Clavicular Fractures

Operative Treatment of Neer Type-II Distal Clavicular Fractures

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

Distal Radius Plates With Coracoid Suture Anchors for the Fixation of Displaced Lateral End Clavicle Fractures

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