CLINICAL RESULTS OF DUAL PLATES FIXATION FOR DISTAL COMMINUTED CLAVICLE FRACTURES_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

JIANGBaoen ,  LILiang , LUJianshu , KANGXiuqin , JIANGShanyong

Department of Orthopaedics, Dongying People's Hospital, Dongying Shandong, 257091, P. R. China;

Corresponding author：

LILiang, Email: jiawei20100303@163.com

Keywords：

Distal comminuted clavicle fracture; Dual plate; Internal fixation

DOI：

10.7507/1002-1892.20140090

Video：

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Objective To evaluate the technique and effectiveness of dual plates fixation for distal comminuted clavicle fractures. Methods Between January 2011 and September 2012, 16 patients with distal comminuted clavicle fractures were treated with dual plates fixation. There were 9 males and 7 females with the mean age of 53.6 years (range, 36-71 years). All the patients had closed fracture, including 10 cases of Craig Ⅱ/type Ⅱ, 5 cases of Craig Ⅱ/type V, and 1 case of Craig Ⅱ/type Ⅱ and Craig Ⅲ, which was caused by traffic accident in 8 cases, by sports in 5 cases, and by falling from height in 3 cases. The average interval from injury to surgery was 48 hours (range, 12-72 hours). The X-ray films were taken during follow-up. The functional recovery of the shoulder joint was assessed using the American Shoulder and Elbow Surgeons (ASES) rating scale score. Results All the patients were followed up 13-17 months (mean, 13.6 months). The X-ray films showed bone union and anatomical reduction in all cases, with the mean time of bone healing of 5.6 months (range, 4-6 months). No complication of implant related fracture, implant failure, malunion, nonunion, or post-traumatic arthritis occurred during follow-up. The mean ASES score was 91 (range, 86-93) at last follow-up. Conclusion Dual plates fixation in the treatment of distal comminuted clavicle fractures can obtain a rigid fixation and avoid the interference of acromioclavicular joint and shoulder joint activities, so this technique is a safe and effective method.

Citation： JIANGBaoen, LILiang, LUJianshu, KANGXiuqin, JIANGShanyong. CLINICAL RESULTS OF DUAL PLATES FIXATION FOR DISTAL COMMINUTED CLAVICLE FRACTURES. Chinese Journal of Reparative and Reconstructive Surgery, 2014, 28(4): 397-400. doi: 10.7507/1002-1892.20140090 Copy

1.	陈晓峰, 李晓林. 锁骨远端骨折的治疗进展. 中华创伤骨科杂志, 2012, 14(9):810-813.
2.	Robinson CM, Court-Brown CM, McQueen MM, et al. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg (Am), 2004, 86-A(7):1359-1365.
3.	Oh JH, Kim SH, Lee JH, et al. Treatment of distal clavicle fracture:a systematic review of treatment modalities in 425 fractures. Arch Orthop Trauma Surg, 2011, 131(4):525-533.
4.	蔡晓冰, 张立国, 竺伟, 等. 锁定加压钢板治疗锁骨远端NeerⅡB型骨折. 中华骨科杂志, 2012, 32(7):659-663.
5.	Richards RR, An KN, Bigliani LU, et al. A standardized method for the assessment of shoulder function. J Should Elbow Surg, 1994, 3(6):347-352.
6.	Nadarajah R, Mahaluximivala J, Amin A, et al. Clavicular hook plate:complications of retaining the implant. Injury, 2005, 36(5):681-683.
7.	van der Meijden OA, Gaskill TR, Millett PJ. Treatment of clavicle fractures:current concepts review. J Shoulder Elbow Surg, 2012, 21(3):423-429.
8.	Wijdicks FJ, van der Meijden OA, Millett PJ, et al. Systematic review of the complications of plate fixation of clavicle fractures. Arch Orthop Trauma Surg, 2012, 132(5):617-625.
9.	Oe K, Gaul L, Hierholzer C, et al. Operative management of periarticular medial clavicle fractures-report of 10 cases. J Trauma, 2011.[Epub ahead of print].
10.	Shin SJ, Roh KJ, Kim JO, et al. Treatment of unstable distal clavicle fractures using two suture anchors and suture tension bands. Injury, 2009, 40(12):1308-1312.
11.	Kontautas E, Pijadin A, Vilkauskas A, et al. Biomechanical aspects of locking reconstruction plate positioning in osteosynthesis of transverse clavicle fracture. Medicina (Kaunas), 2012, 48(2):80-83.
12.	Will R, Englund R, Lubahn J, et al. Locking plates have increased torsional stiffness compared to standard plates in a segmental defect model of clavicle fracture. Arch Orthop Trauma Surg, 2011, 131(6):841-847.
13.	Favre P, Kloen P, Helfet DL, et al. Superior versus anteroinferior plating of the clavicle:a finite element study. J Orthop Trauma, 2011, 25(11):661-665.
14.	Formaini N, Taylor BC, Backes J, et al. Superior versus anteroinferior plating of clavicle fractures. Orthopedics, 2013, 36(7):898-904.
15.	黄俊伍, 罗轶, 张春林, 等. 解剖型钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效. 中华创伤杂志, 2012, 28(12):1073-1077.
16.	Yoo JH, Chang JD, Seo YJ, et al. Stable fixation of distal clavicle fracture with comminuted superiol cortex using oblique T-plate and cerclage wiring. Injury, 2009, 40(4):455-457.
17.	Sohn HS, Shin SJ, Kim BY. Minimally invasive plate osteosynthesis using anterior-inferior plating of clavicular midshaft fractures. Arch Orthop Trauma Surg, 2012, 132(2):239-244.
18.	Bisbinas I, Mikalef P, Gigis I, et al. Management of distal clavicle fractures. Acta Orthop Belg, 2010, 76(2):145-149.

1. 陈晓峰, 李晓林. 锁骨远端骨折的治疗进展. 中华创伤骨科杂志, 2012, 14(9):810-813.
2. Robinson CM, Court-Brown CM, McQueen MM, et al. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg (Am), 2004, 86-A(7):1359-1365.
3. Oh JH, Kim SH, Lee JH, et al. Treatment of distal clavicle fracture:a systematic review of treatment modalities in 425 fractures. Arch Orthop Trauma Surg, 2011, 131(4):525-533.
4. 蔡晓冰, 张立国, 竺伟, 等. 锁定加压钢板治疗锁骨远端NeerⅡB型骨折. 中华骨科杂志, 2012, 32(7):659-663.
5. Richards RR, An KN, Bigliani LU, et al. A standardized method for the assessment of shoulder function. J Should Elbow Surg, 1994, 3(6):347-352.
6. Nadarajah R, Mahaluximivala J, Amin A, et al. Clavicular hook plate:complications of retaining the implant. Injury, 2005, 36(5):681-683.
7. van der Meijden OA, Gaskill TR, Millett PJ. Treatment of clavicle fractures:current concepts review. J Shoulder Elbow Surg, 2012, 21(3):423-429.
8. Wijdicks FJ, van der Meijden OA, Millett PJ, et al. Systematic review of the complications of plate fixation of clavicle fractures. Arch Orthop Trauma Surg, 2012, 132(5):617-625.
9. Oe K, Gaul L, Hierholzer C, et al. Operative management of periarticular medial clavicle fractures-report of 10 cases. J Trauma, 2011.[Epub ahead of print].
10. Shin SJ, Roh KJ, Kim JO, et al. Treatment of unstable distal clavicle fractures using two suture anchors and suture tension bands. Injury, 2009, 40(12):1308-1312.
11. Kontautas E, Pijadin A, Vilkauskas A, et al. Biomechanical aspects of locking reconstruction plate positioning in osteosynthesis of transverse clavicle fracture. Medicina (Kaunas), 2012, 48(2):80-83.
12. Will R, Englund R, Lubahn J, et al. Locking plates have increased torsional stiffness compared to standard plates in a segmental defect model of clavicle fracture. Arch Orthop Trauma Surg, 2011, 131(6):841-847.
13. Favre P, Kloen P, Helfet DL, et al. Superior versus anteroinferior plating of the clavicle:a finite element study. J Orthop Trauma, 2011, 25(11):661-665.
14. Formaini N, Taylor BC, Backes J, et al. Superior versus anteroinferior plating of clavicle fractures. Orthopedics, 2013, 36(7):898-904.
15. 黄俊伍, 罗轶, 张春林, 等. 解剖型钢板与锁骨钩钢板治疗锁骨远端骨折的临床疗效. 中华创伤杂志, 2012, 28(12):1073-1077.
16. Yoo JH, Chang JD, Seo YJ, et al. Stable fixation of distal clavicle fracture with comminuted superiol cortex using oblique T-plate and cerclage wiring. Injury, 2009, 40(4):455-457.
17. Sohn HS, Shin SJ, Kim BY. Minimally invasive plate osteosynthesis using anterior-inferior plating of clavicular midshaft fractures. Arch Orthop Trauma Surg, 2012, 132(2):239-244.
18. Bisbinas I, Mikalef P, Gigis I, et al. Management of distal clavicle fractures. Acta Orthop Belg, 2010, 76(2):145-149.

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Chinese Journal of Reparative and Reconstructive Surgery

CLINICAL RESULTS OF DUAL PLATES FIXATION FOR DISTAL COMMINUTED CLAVICLE FRACTURES

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