Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate

Autor: Seung Yong Lee, Yoon Suk Hyun, Kwang Nam Lee, Kyung Won Song, Gab Rae Kim, Sung Il Shin, Eun Soo Lee, Jin Young Lee
Rok vydání: 2009
Předmět:
Zdroj: The Journal of the Korean Shoulder and Elbow Society. 12:14-20
ISSN: 1226-9344
DOI: 10.5397/cise.2009.12.1.014
Popis: Purpose: This study examined the clinical results of the treatment of type 2 distal clavicle fracture with using a Wolter plate. Materials and Methods: Between 2004 and 2007, 16 patient treated for type 2 distal clavicle fracture using a Wolter plate were included in this study. Their average age was 32.6 years and the postoperative mean follow-up period was 22.9 months. The reduction and union were qualified according to the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona`s system and the Constant score Results: By Kona`s functional evaluation, there were 12 cases with excellent results, 3 cases with good results and 1 case of fair results and the average Constant score was 90. All 16 cases showed bony union. As complications, there was 1 case in which the protruded hook of the plate could be palpated at the skin, and 1 case showed an acromial fracture, but all the cases dispalyed successful bony union and there was no acromioclavicular joint arthritis, infection or any other complications. Conclusion: Wolter plate fixation for type 2 distal clavicle fracture is a reliable surgical method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.
Databáze: OpenAIRE