Ahmadreza Mirbolook1, Mirmostafa Sadat2, Mohammadreza Golbakhsh3, Mohammad Sadegh Mousavi4, Amirmohammad Gholizadeh4, Sepehr Saghari5. 1. Department of Orthopedics and Traumatology, Guilan University of Medical Sciences, Rasht, Iran. 2. Department of Orthopedics and Traumatology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran. 3. Department of Orthopedics and Traumatology, Tehran University of Medical Sciences Tehran, Iran. dmrgolbakhsh@yahoo.com. 4. Department of Orthopedics and Traumatology, Medical Faculty, Guilan University of Medical Sciences, Rasht, Iran. 5. Department of Orthopedics and Traumatology, Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran.
Abstract
OBJECTIVE: The aim of this study was to evaluate the results of the suture anchor fixation in the treatment of distal clavicle fractures. METHODS: This cross series study included 43 patients (27 males, 12 females; mean age: 40.1±10.18 years) with type II unstable distal clavicle fractures. The fractures were fixed by 2 pins and 1 suture anchor. All patients were followed at postoperative months 3, 6, and 12 and underwent clinical and radiographic evaluation after 1 year, ongoing at 6-month intervals thereafter. Demographic data were recorded on the first postoperative day. At third and 12th month follow-up, Constant-Murley Shoulder Outcome Score (CMS) was used to assess performance of the acromioclavicular joint, and Visual Analog Scale questionnaire was used to assess patient satisfaction. RESULTS: Based on CMS scores 1 year after surgery, 37 patients were in excellent condition, and 2 patients were in good condition. Mean surgical case duration was 43.25±4.01 min. These results indicate that there was no significant association between CMS scores and surgical case duration. Mean time to union in our patients was 4.46±0.96 months. CONCLUSION: We were able to observe optimal results in our patients by using closed reduction and suture anchors without opening the fracture site, thus allowing physiological processes in union without complications of complete union, while also preventing additional costs such as removing the device.
OBJECTIVE: The aim of this study was to evaluate the results of the suture anchor fixation in the treatment of distal clavicle fractures. METHODS: This cross series study included 43 patients (27 males, 12 females; mean age: 40.1±10.18 years) with type II unstable distal clavicle fractures. The fractures were fixed by 2 pins and 1 suture anchor. All patients were followed at postoperative months 3, 6, and 12 and underwent clinical and radiographic evaluation after 1 year, ongoing at 6-month intervals thereafter. Demographic data were recorded on the first postoperative day. At third and 12th month follow-up, Constant-Murley Shoulder Outcome Score (CMS) was used to assess performance of the acromioclavicular joint, and Visual Analog Scale questionnaire was used to assess patient satisfaction. RESULTS: Based on CMS scores 1 year after surgery, 37 patients were in excellent condition, and 2 patients were in good condition. Mean surgical case duration was 43.25±4.01 min. These results indicate that there was no significant association between CMS scores and surgical case duration. Mean time to union in our patients was 4.46±0.96 months. CONCLUSION: We were able to observe optimal results in our patients by using closed reduction and suture anchors without opening the fracture site, thus allowing physiological processes in union without complications of complete union, while also preventing additional costs such as removing the device.