Modified Tenson Band Fixation for Unstable Fracture of the Distal Clavicle.
10.4055/jkoa.2002.37.3.416
- Author:
Jae Myeung CHUN
1
;
Soung Yon KIM
;
Kee Won LEE
;
Seung Jun SHIN
;
Eu Gene KIM
Author Information
1. Department of Orthopaedic Surgery, Asan Medical Center University of Ulsan College of Medicine, Seoul, Korea. jmchun@www.amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Clavicle;
Unstable distal clavicle fracture;
Modified tension band fixation
- MeSH:
Acromioclavicular Joint;
Clavicle*;
Follow-Up Studies;
Humans;
Rehabilitation
- From:The Journal of the Korean Orthopaedic Association
2002;37(3):416-420
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The aims of this study were to introduce a new surgical technique for unstable fracture of the distal clavicle, and to evaluate the clinical results. MATERIALS AND METHODS: The clinical results of nineteen patients who underwent surgical treatment for unstable fracture of the distal clavicle, during the period from March 1995 to December 1999, using a modified tension band fixation with follow up over one year were reviewed. Outcome was analyzed in terms of pain, function, radiologic result and union time. RESULTS: All cases showed satisfactory results; eighteen cases (95%) were excellent, and one case (5%) was good. Radiologic union was achieved on average at eight weeks (six-tweleve) after operation. No complications such as pin migration, metal breakage and nonunion were seen. CONCLUSION: Modified tension band fixation for unstable fracture of the distal clavicle was found to be a useful method, which is easy and induces no injury of the acromioclavicular joint, and provides enough stability for postoperative rehabilitation.