Kuei-Hsiang Hsu1, Yun-Hsuan Tzeng2, Ming-Chau Chang1, Chao-Ching Chiang3. 1. Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan. 2. Division of Medical Imaging for Health Management, Cheng-Hsin General Hospital, Taipei, Taiwan. 3. Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan. Electronic address: chiangcc@vghtpe.gov.tw.
Abstract
BACKGROUND: Treatment of displaced distal clavicular fractures is still controversial. This study reports the utility of a new coracoclavicular (CC) loop technique for acute displaced distal clavicular fractures and compared its surgical outcomes with those of the hook plate method. METHODS: In this retrospective study, a total of 23 patients with acute displaced distal clavicular fractures were treated with a new CC loop technique at a single institution from 2010 to 2014. Another group comprising 49 patients treated with a hook plate was compared with the CC loop group regarding clinical and radiologic outcomes. RESULTS: Seventy-two patients with at least 1 year of follow-up after both operations were included in this study. The Constant score was significantly greater in the CC loop group (95 vs 87, P = .009) at final follow-up. Moreover, the complication rate was significantly lower in the CC loop group (0% vs 24.5%, P = .007). The University of California, Los Angeles shoulder score and radiologic nonunion rate revealed no significant differences between the 2 groups. CONCLUSIONS: The new CC loop technique had better clinical outcomes and lower complication rates compared with the hook plate technique.
BACKGROUND: Treatment of displaced distal clavicular fractures is still controversial. This study reports the utility of a new coracoclavicular (CC) loop technique for acute displaced distal clavicular fractures and compared its surgical outcomes with those of the hook plate method. METHODS: In this retrospective study, a total of 23 patients with acute displaced distal clavicular fractures were treated with a new CC loop technique at a single institution from 2010 to 2014. Another group comprising 49 patients treated with a hook plate was compared with the CC loop group regarding clinical and radiologic outcomes. RESULTS: Seventy-two patients with at least 1 year of follow-up after both operations were included in this study. The Constant score was significantly greater in the CC loop group (95 vs 87, P = .009) at final follow-up. Moreover, the complication rate was significantly lower in the CC loop group (0% vs 24.5%, P = .007). The University of California, Los Angeles shoulder score and radiologic nonunion rate revealed no significant differences between the 2 groups. CONCLUSIONS: The new CC loop technique had better clinical outcomes and lower complication rates compared with the hook plate technique.
Authors: Raymond E Chen; Sandeep P Soin; Rami El-Shaar; Gregg T Nicandri; Hani A Awad; Michael D Maloney; Ilya Voloshin Journal: Clin Orthop Relat Res Date: 2019-12 Impact factor: 4.176
Authors: Yaiza Lopiz; Pablo Checa; Carlos García-Fernández; Jose Valle; Maria Luisa Vega; Fernando Marco Journal: Int Orthop Date: 2018-08-16 Impact factor: 3.075
Authors: Christopher Vannabouathong; Justin Chiu; Rahil Patel; Shreyas Sreeraman; Elias Mohamed; Mohit Bhandari; Kenneth Koval; Michael D McKee Journal: JSES Int Date: 2020-05-04
Authors: Andreas Panagopoulos; Konstantina Solou; Irini Tatani; Ioannis K Triantafyllopoulos; John Lakoumentas; Antonis Kouzelis; Vasileios Athanasiou; Zinon T Kokkalis Journal: J Orthop Surg Res Date: 2022-04-07 Impact factor: 2.359