Abstract:Objective To evaluate the clinical and radiologic outcomes of unstable distal clavicle fractures treated with anatomic plate and hook plate.Methods Between 2013.5 and 2016.1,40 patients with unstable distal clavicle fractures underwent open reduction and internal fixation at our institution with either a clavicular hook plate (27 patients) or a distal clavicular locking plate (13 patients) or a clavicular hook plate (27 patients) were evaluated.The main outcome comparisons included rate of union,rate of complication and the shoulder joint functional which evaluated using Constant and California-Los Angeles (UCLA) scores.Results Bone union was achieved in all patients.Satisfactory clinical and radiologic outcomes were obtained.Between the patients who used hook plate [Constant score (87.8±4.9);UCLA score (30.7±2.8)]and the patients who used locking plate[Constant score (90.2±2.7);UCLA score (31.8±2.2)]and the patients who used hook plate[Constant score (87.8±4.9);UCLA score (30.7±2.8)],there was no statistically significant difference in clinical outcomes of Constant score and UCLA score.However,the results indicated that the locking plate group had a lower rate of complications.Conclusion Both distal clavicular locking plate and clavicular hook plate achieved good results in the treatment of unstable distal clavicle fractures;however,internal fixation with a distal clavicular locking plate had a lower rate of complications,patients without additional coraclavicular ligament augmentation also achieved satisfactory shoulder functional outcomes.Therefore,anatomic locking plate can be considered the first of the treatment options for unstable distal clavicle fracture.
王志强,栗树伟,刘亮,范伟,李飞,王东 *. 解剖型锁定钢板与钩钢板治疗不稳定锁骨远端骨折的疗效分析[J]. 实用骨科杂志, 2017, 23(4): 315-318.
Wang Zhiqiang,Li Shuwei,Liu liang,et al. The Efficacy of Anatomic Locking Plate and Hook Plate in the Treatment of Unstable Distal Clavicle Fractures. sygkzz, 2017, 23(4): 315-318.
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