Comparison of the efficacy of a distal clavicular locking plate with and without a suture anchor in the treatment of Neer IIb distal clavicle fractures

Autor:	Xiao Cheng Zhi, Hua Xu, Shi Chang Chen, Wen Jun Chen
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	Adult Male Suture anchor medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Distal clavicle medicine.medical_treatment Locking plate Fracture Fixation Internal 03 medical and health sciences 0302 clinical medicine Rheumatology Suture Anchors medicine Shoulder function Humans Application procedure Internal fixation Orthopedics and Sports Medicine Distal clavicle fracture Reduction (orthopedic surgery) Suture anchors Aged Retrospective Studies 030222 orthopedics business.industry Clinical outcome 030229 sport sciences Middle Aged Clavicle Surgery Treatment Outcome Orthopedic surgery Shoulder Fractures Female lcsh:RC925-935 business Bone Plates Research Article
Zdroj:	BMC Musculoskeletal Disorders, Vol 20, Iss 1, Pp 1-5 (2019) BMC Musculoskeletal Disorders
ISSN:	1471-2474
DOI:	10.1186/s12891-019-2892-6
Popis:	Background To compare the clinical outcomes between the use of a distal clavicular locking plate alone and the combined use of a plate and a coracoclavicular suture anchor in the treatment of Neer IIb distal clavicle fractures and to discuss the application procedure of suture anchors. Methods This is a retrospective study. Thirty-four patients with unilateral Neer IIb distal clavicle fractures who underwent open reduction and internal fixation with a distal clavicular locking plate only (16 patients) or with both a plate and a coracoclavicular suture anchor (18 patients) were evaluated. The main observation data included the Constant-Murley Shoulder Function Score (CMS), rate of postoperative complications, and union time. Results The distal clavicular locking plate and coracoclavicular suture anchor combination group had better outcomes in the Constant-Murley score (94.6 ± 4.5 vs. 90.1 ± 9.5) (P 0.05). Conclusions Both methods achieved good results in the treatment of Neer IIb distal clavicle fractures; however, the use of both locking plates and coracoclavicular suture anchors can provide more stability in the early stage after operation than can the use of locking plates alone, which can make the sped of union quicker and result in better clinical outcomes. For elderly patients with comminuted Neer IIb distal clavicle fractures, a locking plate combined with a suture anchor is recommended to provide more stability in the early stage after the operation.
Databáze:	OpenAIRE
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