KMID : 0858320090120010014
|
|
Journal of the Korean Shoulder Elbow Society 2009 Volume.12 No. 1 p.14 ~ p.20
|
|
Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate
|
|
Shin Sung-Il
Hyun Yun-Seok Song Kyung-Won Lee Seung-Yong Kim Gab-Lae Lee Kwang-Nam Lee Jin-Young Lee Eun-Su
|
|
Abstract
|
|
|
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.
|
|
KEYWORD
|
|
Shoulder, Distal clavicle fracture, Wolter plate
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|