Comparative Study Of The Functional Outcome Of The Clavicle Hook Plate Versus Distal Clavicle Locking Plate In Treatment Of Distal Clavicle Fractures
DOI:
https://doi.org/10.48047/72mgn359Abstract
Background: Distal Clavicle Fractures Represent 15–28% Of All Clavicle Fractures And Are Prone To Nonunion, Particularly Unstable Neer Type Ii Fractures, Often Necessitating Surgical Intervention. Two Common Fixation Methods Include The Clavicular Hook Plate And Distal Clavicle Locking Plate, But Their Comparative Efficacy And Safety Remain Debated.
Objective: This Retrospective Study Aimed To Compare Clinical, Radiological, And Functional Outcomes Of Distal Clavicle Fractures Treated With Clavicular Hook Plates Versus Distal Clavicle Locking Plates.
Methods: Forty Patients Aged 18–65 Years With Unstable Distal Clavicle Fractures (Neer Type Ii/Iii) Were Treated Surgically At Vmkv Medical College, Salem. Patients Were Allocated Based On Fracture Morphology. Outcomes Assessed Included Union Rates, Complication Rates, Constant-Murley Scores, And Return To Work Status Over An Average Follow-Up Of ~28 Months.
Results: Union Rates Were High In Both Groups (Hook Plate 93.3%, Locking Plate 97.2%; P > 0.05). Functional Outcomes Measured By Constant-Murley Scores Were Comparable (Hook Plate 93.3 Vs. Locking Plate 95.5; P > 0.05). However, The Hook Plate Group Experienced Significantly Higher Complication Rates (23.3% Vs. 5.6%; P < 0.05) And Slower Return To Work (73.3% Vs. 94.4% At 3 Months; P < 0.05).
Conclusion: Both Fixation Methods Provide Effective Union And Good Shoulder Function. Distal Clavicle Locking Plates Demonstrate A Safety Advantage With Fewer Complications And Facilitate Earlier Return To Work, Supporting Their Use As A Preferred Treatment For Unstable Distal Clavicle Fractures.
Downloads
References
• 1.Edwards Dj, Kavanagh Tg, Flannery Mc. Fractures Of The Distal Clavicle: A Case For Fixation. Injury. 1992;23:44–46. Doi: 10.1016/0020-1383(92)90125-C. [Doi] [Pubmed] [Google Scholar]
• 2.Van Der Meijden Oa, Gaskill Tr, Millett Pj. Treatment Of Clavicle Fractures: Current Concepts Review. J Should Elb Surg. 2012;21:423–429. Doi: 10.1016/J.Jse.2011.08.053. [Doi] [Pubmed] [Google Scholar]
• 3.Kao Fc, Chao Ek, Chen Ch, Et Al. Treatment Of Distal Clavicle Fracture Using Kirschner Wires And Tension-Band Wires. J Trauma. 2001;51:522–525. Doi: 10.1097/00005373-200109000-00016. [Doi] [Pubmed] [Google Scholar]
• 4.Macheras G, Kateros Kt, Savvidou Od, Et Al. Coracoclavicular Screw Fixation For Unstable Distal Clavicle Fractures. Orthopedics. 2005;28:693–696. Doi: 10.3928/0147-7447-20050701-18. [Doi] [Pubmed] [Google Scholar]
• 5.Chen Ch, Chen Wj, Shih Ch. Surgical Treatment For Distal Clavicle Fracture With Coracoclavicular Ligament Disruption. J Trauma. 2002;52:72–78. Doi: 10.1097/00005373-200201000-00013. [Doi] [Pubmed] [Google Scholar]
• 6.Muramatsu K, Shigetomi M, Matsunaga T, Et Al. Use Of The Ao Hook-Plate For Treatment Of Unstable Fractures Of The Distal Clavicle. Arch Orthop Trauma Surg. 2007;127:191–194. Doi: 10.1007/S00402-006-0284-5. [Doi] [Pubmed] [Google Scholar]
• 7.Tambe Ad, Motkur P, Qamar A, Et Al. Fractures Of The Distal Third Of The Clavicle Treated By Hook Plating. Int Orthop. 2006;30:7–10. Doi: 10.1007/S00264-005-0019-1. [Doi] [Pmc Free Article] [Pubmed] [Google Scholar]
• 8.Kashii M, Inui H, Yamamoto K. Surgical Treatment Of Distal Clavicle Fractures Using The Clavicular Hook Plate. Clin Orthop Relat Res. 2006;447:158–164. Doi: 10.1097/01.Blo.0000203469.66055.6a. [Doi] [Pubmed] [Google Scholar]
• 9.Renger Rj, Roukema Gr, Reurings Jc, Et Al. The Clavicle Hook Plate For Neer Type Ii Lateral Clavicle Fractures. J Orthop Trauma. 2009;23:570–574. Doi: 10.1097/Bot.0b013e318193d878. [Doi] [Pubmed] [Google Scholar]
• 10.Haidar Sg, Krishnan Km, Deshmukh Sc. Hook Plate Fixation For Type Ii Fractures Of The Lateral End Of The Clavicle. J Shoulder Elbow Surg. 2006;15:419–423. Doi: 10.1016/J.Jse.2005.11.012. [Doi] [Pubmed] [Google Scholar]
Downloads
Published
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.
