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KMID : 0386420110240010048
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Journal of the Korean Fracture Society
2011 Volume.24 No. 1 p.48 ~ p.54
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Treatment of Distal Clavicle Fracture Using Hook Plate
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Ahn Su-Han
Yoon Hyeong-Jo
Kim Kwang-Yeol
Kim Hyung-Chun
Kim In-Yeol
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Abstract
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Purpose: To evaluate the result of distal clavicle fracture treated by Hook plate (LCP clavicle hook plate, Synthesⓡ, Paoli, Switzerland).
Materials and Methods : 10 patients with distal clavicle fracture treated by Hook plate from April 2008 to March 2010 were analyzed. The average follow-up period was 10 (range 4 to 26) months. The reduction was qualified and evaluated according to the immediate post-operative, final radiographs. We analyze the result by UCLA score and Kona’s functional evaluation.
Results: By radiologic evaluation, all cases showed anatomical reduction and solid union. By Kona’s functional evaluation, there are 7 cases with excellent results, 3 cases with good results. The UCLA score was average 33.3 (range 29 to 35) points followed by 6 excellent cases, 4 good cases. As complication, 1 case showed post-operative clavicle shaft fracture and 1 case showed acromial osteolysis on X-rays. We found no complications such as skin irritation, infection, loosening of screws, and plate failure.
Conclusion: The Hook plate fixation for distal clavicle fracture is considered effective method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.
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KEYWORD
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Clavicle, Distal clavicle fracture, Hook plate
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