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KMID : 0950120060050010058
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Jouranl of Korean Orthopaedic Sports Medicine
2006 Volume.5 No. 1 p.58 ~ p.62
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Treatment of Distal Clavicular Fracture by Reconstruction Plate and Wire Fixation
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Seo Mu-Sam
Park Hyung-Taek
Kim Sang-Hyo
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Abstract
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Purpose: To evaluate the result of operative treatment with plate and wire fixation for fractures of the distal clavicle.
Materials and Methods: We assessed 9 cases of fractures of the distal clavicle that were treated by plate and wire fixation from March 2001 to July 2003 and followed up over 1year. We used the reconstruction plate as a buttress and performed cerclage wiring to fix comminuted fracture site. The functional result of shoulder was evaluated by the scoring system of Rowe.
Results: The average periods of bony union was 9 weeks in all cases. According to Rowe scoring system, the functional result was exellent in 7 cases and good in 2 cases. There was no LOM of shoulder and traumatic arthritis in AC joint. But there was skin irritation in 1 case.
Conclusion : The operative method by reconstruction plate and wire fixation for distal clavicular fracture was useful when there were comminuted fracture. This method seems to be simple and satisfactory in terms of improvement of range of motion of shoulder, restoration of function and rare complication.
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KEYWORD
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Clavicle, Distal fracture, Reconstruction plate and Wire fixation
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