Treatment of Distal Clavicle Fracture Using Hook Plate.
10.12671/jkfs.2011.24.1.48
- Author:
Su Han AHN
1
;
Hyeong Jo YOON
;
Kwang Yeol KIM
;
Hyung Chun KIM
;
In Yeol KIM
Author Information
1. Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea. paskal1023@hanmail.net
- Publication Type:Original Article
- Keywords:
Clavicle;
Distal clavicle fracture;
Hook plate
- MeSH:
Clavicle;
Follow-Up Studies;
Humans;
Incidence;
Osteolysis;
Skin
- From:Journal of the Korean Fracture Society
2011;24(1):48-54
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: To evaluate the result of distal clavicle fracture treated by Hook plate (LCP clavicle hook plate, Synthes(R), Paoli, Switzerland). MATERIALS AND METHODS: 10 patients with distal clavicle fracture treated by Hook plate from April 2008 to March 2010 were analyzed. The average follow-up period was 10 (range 4 to 26) months. The reduction was qualified and evaluated according to the immediate post-operative, final radiographs. We analyze the result by UCLA score and Kona's functional evaluation. RESULTS: By radiologic evaluation, all cases showed anatomical reduction and solid union. By Kona's functional evaluation, there are 7 cases with excellent results, 3 cases with good results. The UCLA score was average 33.3 (range 29 to 35) points followed by 6 excellent cases, 4 good cases. As complication, 1 case showed post-operative clavicle shaft fracture and 1 case showed acromial osteolysis on X-rays. We found no complications such as skin irritation, infection, loosening of screws, and plate failure. CONCLUSION: The Hook plate fixation for distal clavicle fracture is considered effective method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.
