Fractures of the distal clavicle: comparison between two surgical treatment methods.

Autor:	Souza Vilela JC; Hospital da Unimed de Belo Horizonte, Belo Horizonte, MG, Brazil., de Andrade RP; Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Jacques Gonçalves LB; Hospital Madre Teresa, Belo Horizonte, MG, Brazil., Abreu Machado TL; Hospital da Unimed de Belo Horizonte, Belo Horizonte, MG, Brazil., Correa Filho MR; Hospital da Unimed de Belo Horizonte, Belo Horizonte, MG, Brazil., de Araujo ID; Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
Jazyk:	angličtina
Zdroj:	Revista brasileira de ortopedia [Rev Bras Ortop] 2015 Mar 30; Vol. 50 (2), pp. 136-41. Date of Electronic Publication: 2015 Mar 30 (Print Publication: 2015).
DOI:	10.1016/j.rboe.2015.03.006
Abstrakt:	Objective: To compare the clinical and radiographic results from osteosynthesis of fractures of the lateral third of the clavicle, using two methods: T plates or anchors together with Kirschner wires. Methods: Fifteen patients of mean age 34.3 years (range: 19-57) and mean follow-up 22.7 months (range: 14-32) were evaluated. In nine cases, a T plate was used; and in six cases, coracoclavicular fixation was used with anchors in the coracoid process and Kirschner wires through the acromioclavicular joint. The evaluation included the Constant score, personal satisfaction and radiographic assessment. Results: Both types of treatment achieved consolidation in all cases. Group 1 presented a higher Constant score (83.4) than that of Group 2 (76.4) (p = 0.029). Neither of the techniques presented any severe complications, and mild complications were only observed in Group 2 (80%), mostly consisting of migration of the Kirschner wire and superficial infection. Conclusion: Surgical treatment of fractures of the distal clavicle using T plates provided the same consolidation rate as shown by coracoclavicular fixation with anchors in the coracoid process and Kirschner wires through the acromioclavicular joint, and better clinical results. Level of Evidence: Level III evidence was obtained. Comparative retrospective study and therapeutic study were performed.
Databáze:	MEDLINE
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