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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
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