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- Title
All arthroscopic coracoclavicular button fixation is efficient for Neer type II distal clavicle fractures.
- Authors
Kapicioglu, Mehmet; Erden, Tunay; Bilgin, Emre; Bilsel, Kerem
- Abstract
<bold>Purpose: </bold>Neer type II distal clavicle fractures are associated with a high rate of non-union or malunion due to impaired coracoclavicular ligament stability. The purpose of this study was to assess the clinical and radiological outcomes of arthroscopically assisted indirect osteosynthesis for type II distal clavicle fractures using a cortical suture button device.<bold>Methods: </bold>Seventeen patients Neer type II fractures of the distal clavicle were treated surgically using cortical suture button fixation between 2012 and 2017. The clinical and radiological results were assessed using the American Shoulder and Elbow Surgeons Shoulder Score (ASES), Constant-Murley score and visual analogue scale (VAS) score.<bold>Results: </bold>Anatomic reduction and bone healing were achieved in all patients at the final follow-up. The median age of the patients was 31 years (range 19-57). The mean follow-up was 25.9 months (range 14-64). The average delay before surgery was 2 days (range 1-4). At the final follow-up, the mean ASES, Constant-Murley score and VAS score were 92.6 ± 3.2 (range 84.9-96.6), 96.2 ± 2.4 (range 92-100) and 0.47 ± 0.51 (range 0-1), respectively. All patients were able to resume work as well as sport activities. The postoperative complications included two coracoid process fractures, and none of the patients required additional surgery related to the index procedure.<bold>Conclusion: </bold>All arthroscopic coracoclavicular button fixation of Neer type II distal clavicle fractures would provide sufficient stability and union with satisfactory radiological and clinical outcomes. This arthroscopic fixation technique would be more efficient than other osteosynthesis methods because it is a minimally invasive surgery with a low complication rate.<bold>Level Of Evidence: </bold>III.
- Subjects
CLAVICLE injuries; JOINT hypermobility; ARTHROSCOPY; INTERNAL fixation in fractures; SUTURES; SHOULDER surgery; MINIMALLY invasive procedures; CLAVICLE surgery; SUTURING; ARTICULAR ligaments; ENDOSCOPIC surgery; RADIOGRAPHY; SURGICAL complications; TREATMENT effectiveness; FRACTURE fixation; ACROMIOCLAVICULAR joint; BONE fractures; CLAVICLE; LONGITUDINAL method
- Publication
Knee Surgery, Sports Traumatology, Arthroscopy, 2021, Vol 29, Issue 7, p2064
- ISSN
0942-2056
- Publication type
journal article
- DOI
10.1007/s00167-020-06048-8