Usefulness of the Additional K-Wire Fixation and Suture for Reinforce the Treatment of Distal Clavicle Fracture Using Modified Tension Band Wiring.
10.12671/jkfs.2016.29.2.107
- Author:
Seung Bum CHAE
1
;
Chang Hyuk CHOI
;
Dong Young KIM
Author Information
1. Department of Orthopaedic Surgery, Daegu Catholic University Medical Center, Daegu, Korea. chchoi@cu.ac.kr
- Publication Type:Original Article
- Keywords:
Clavicle;
Distal clavicle fracture;
Modified tension band wiring
- MeSH:
California;
Classification;
Clavicle*;
Elbow;
Exercise;
Follow-Up Studies;
Humans;
Joints;
Range of Motion, Articular;
Shoulder;
Sutures*
- From:Journal of the Korean Fracture Society
2016;29(2):107-113
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: We attempted to evaluate the clinical results of modified tension band wiring (MTBW) with additional K-wire fixation and suture for distal clavicle fracture. MATERIALS AND METHODS: Fifty-nine patients with a distal clavicle fracture from May 2009 to December 2013 treated with MTBW were enrolled in this study. Their fracture types were type 2, 12; and type 3, 33; type 4, 8; and type 5, 6 according to Craig classification group II; average age was 47.2 years with a mean follow-up period of 27.9 months. The operations were performed within a mean of 3.1 days a fter t rauma. The c linical results were evaluated u sing University of California at Los Angeles scores (UCLA), American Shoulder and Elbow Surgeons scores (ASES) and Korean Shoulder Society scores (KSS) at 1 year after surgery. RESULTS: Radiographic bone union was achieved at a mean of 3.7 months after the operation. In the last observation, their range of motion was forward flexion 159.0°, external rotation 59.8°, and internal rotation 4.3 points, and there were 2 cases of nonunion. Each average functional score was UCLA 31.3 points, KSS 91.6 points, and ASES 93.0 points. CONCLUSION: For the surgical treatment of distal clavicle fractures, MTBW with additional K-wire fixation and suture is a useful technique allowing early range of motion exercises, minimizing soft tissue damage, and preserving the acromio-clavicular joint.
