Page 52 - ISAKOS 2021 Newsletter Volume 1

CURRENT CONCEPTS
Management of Distal Clavicular Fractures
Table 1. Literature Review of Outcomes of Various Fixation Methods for Displaced Distal Clavicular Fractures* (con.)
Study
Yamaguchi et al. (Int Orthop, 1998)
Haider et al. (J Shoulder Elbow Surg, 2006)
Kalamrasa et al. (J Shoulder Elbow Surg, 2008)
Mochizuki et al. (Arch Orthop Trauma Surg, 2019)
Xu et al. (BMC Musculoskelet Disord, 2019)
No. of Complications Other than Nonunion
0
0
1 infection
0
Treatment Method
No. of Patients
Mean Age (yr)
Mean Duration of Follow- up (mo)
Mean Functional Outcome Scores at Final Follow-up
No. of Patients with Nonunion
No. of Patients Requiring Revision Surgery for Nonunion
CC stabilization with screw
11
40
68
All patients returned to work and sports activity
0
0
Mall et al. (J Orthop Sci, 2002)
CC stabilization with polydioxanone suture (PDS)
12
Range, 21-47
29
Constant score, excellent
1
—
4 (disengaged from clavicle [1], unhooked from acromion [1], clavicular fracture [1], wound breakdown [1])
Hook plate
22
43
41
Constant score, 94; DASH score, 5
—
0
Renger et al. (J Orthop Trauma, 2009)
Hook plate
44
38
27
Constant score, 92
2
1
37 (impingements [33], infections [2], acromial hole widening [3], hypertrophic scar [2])
Interfragmentary locking plate
9
31
14
Constant score, 96
0
0
Sautet P et
al. (Orthop Traumatol Surg Res, 2018)
CC stabilization with endobutton
14
35
20
Constant score, 91
0
0
Implant irritation (4 [2 required removal])
Arthroscopic CC reconstruction with synthetic graft and K-wire
23
34
18.6
Quick DASH score, 3.8; ASES score, 92; Constant score, 94
0
0
Yagnik et al. (Orthop J Sports Med, 2019)
CC stabilization with cortical button and reconstruction with semitendinosus allograft
21
ASES score, 88; UCLA score, 33
0
0
Hardware irritation (1), adhesive capsulitis (1),
wound dehiscence (1)
Interfragmentary locking plate
with CC stabilization
18
46
17.5
Constant score, 93
0
0
Implant-related pain / discomfort with movement (2)
Plate failure from distal clavicle (1), implant related pain / discomfort with movement (2)
Interfragmentary locking plate without CC stabilization
16
51
16
Constant score, 88
0
0
50 ISAKOS NEWSLETTER 2021: VOLUME I