5 263

Cited 0 times in

Osteosynthesis of symptomatic nonunions of type II fractures of the distal clavicle using modified locking T-plate and bone grafting

Authors
 Kang, Ho-Jung  ;  Kim, Hyoung-Sik  ;  Kim, Sung-Jae  ;  Yoo, Je-Hyun 
Citation
 JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, Vol.72(2) : 14-19, 2012 
Journal Title
 JOURNAL OF TRAUMA AND ACUTE CARE SURGERY 
ISSN
 2163-0755 
Issue Date
2012
MeSH
Adult ; Bone Plates ; Bone Transplantation/methods ; Clavicle/injuries* ; Clavicle/surgery* ; Female ; Follow-Up Studies ; Fracture Fixation, Internal/methods* ; Fractures, Ununited/surgery* ; Humans ; Ilium/transplantation ; Ligaments, Articular/injuries ; Ligaments, Articular/surgery ; Male ; Middle Aged ; Pain Measurement ; Reconstructive Surgical Procedures/methods ; Recovery of Function ; Treatment Outcome
Keywords
Distal clavicle ; type II fractures ; nonunions ; osteosynthesis ; locking T-plate ; autogenous iliac bone graft
Abstract
BACKGROUND: Type II distal clavicle fractures are generally unstable and hence prone to nonunion because of their specific biomechanical configuration. Nonunion of type II distal clavicle fractures sometimes poses a difficult problem causing pain and functional impairment of the shoulder girdle and upper limb. Therefore, operative treatment should be performed for symptomatic nonunions. However, there is very little information in the literature on nonunions of type II distal clavicle fractures to date. METHODS: Ten consecutive patients with symptomatic nonunions of type II fractures of the distal clavicle were enrolled with a minimum follow-up of 24 months. The primary indication for surgery was pain on activity and osteosynthesis using modified oblique locking T-plate, and autogenous iliac bone graft without repair or reconstruction of coracoclavicular ligament was performed in all cases. Functional outcomes were assessed preoperatively and at final follow-up using Constant score, Modified Shoulder Rating Scale score, and the visual analog scale score. RESULTS: In all cases, bony union was achieved at a mean of 14.7 weeks. No patients had pain during any of the activities at the latest follow-up but two, who complained of mild discomfort during strenuous activity. All but one patient regained full range of motion of the operated shoulder. Constant score improved from 76.3 to 92.3, and similarly, Modified Shoulder Rating Scale score increased from 11.3 to 18.2 after surgery. These functional assessments revealed seven excellent and three good outcomes with functional improvement. Preoperative visual analog scale score of a mean 3.8 decreased to 0.3 after the operation. CONCLUSION: Osteosynthesis using modified oblique locking T-plate and autogenous iliac bone graft results in good to excellent outcomes with the functional improvement for symptomatic nonunions of type II fractures of the distal clavicle. Our method may be primarily considered an useful alternative for symptomatic nonunions of type II distal clavicle fractures, and bone grafting should be considered in all cases.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=01586154-201202000-00042&LSLINK=80&D=ovft
DOI
22327996
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Ho Jung(강호정) ORCID logo https://orcid.org/0000-0003-0273-1264
Kim, Sung Jae(김성재)
Kim, Hyoung Sik(김형식) ORCID logo https://orcid.org/0000-0002-9303-4116
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/91178
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse

Links