Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate.
- Author:
Sung Il SHIN
1
;
Kyung Won SONG
;
Jin Young LEE
;
Seung Yong LEE
;
Gab Rae KIM
;
Yoon Suk HYUN
;
Kwang Nam LEE
;
Eun Soo LEE
Author Information
1. Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. ys7933@naver.com
- Publication Type:Original Article
- Keywords:
Shoulder;
Distal clavicle fracture;
Wolter plate
- MeSH:
Acromioclavicular Joint;
Arthritis;
Clavicle;
Follow-Up Studies;
Humans;
Incidence;
Shoulder;
Skin
- From:Journal of the Korean Shoulder and Elbow Society
2009;12(1):14-20
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: This study examined the clinical results of the treatment of type 2 distal clavicle fracture with using a Wolter plate. MATERIALS AND METHODS: Between 2004 and 2007, 16 patient treated for type 2 distal clavicle fracture using a Wolter plate were included in this study. Their average age was 32.6 years and the postoperative mean follow-up period was 22.9 months. The reduction and union were qualified according to the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona's system and the Constant score RESULTS: By Kona's functional evaluation, there were 12 cases with excellent results, 3 cases with good results and 1 case of fair results and the average Constant score was 90. All 16 cases showed bony union. As complications, there was 1 case in which the protruded hook of the plate could be palpated at the skin, and 1 case showed an acromial fracture, but all the cases dispalyed successful bony union and there was no acromioclavicular joint arthritis, infection or any other complications. CONCLUSION: Wolter plate fixation for type 2 distal clavicle fracture is a reliable surgical method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result
