Abstract
Introduction Management of displaced fractures of the lateral end clavicle has always challenged orthopaedic surgeons, due to a high non-union rate, and difficulty achieving stable fixation allowing early mobilisation. Different methods of fixation have been utilised to provide stability and improve healing and functional outcomes. In this series, we evaluate the results of internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Patients and methods We retrospectively reviewed the clinical notes and radiographs of eight consecutive patients with fractures of the lateral end of the clavicle presented to our hospital between January 2016 and December 2017. Patients were treated by open reduction and internal fixation using dorsal distal radius locking plates and coracoid suture anchors. Results All patients achieved full range of motion of the shoulder at eight weeks postoperatively. There were no intra-operative complications. Evidence of bone healing was noted in all cases within eight weeks post-operatively. There were no cases of wound complications, metal work irritation or fixation failures. The pre-morbid level of function was restored following the rehab protocol and physiotherapy. Conclusion Dorsal distal radius plates with suture anchor fixation appear to be a valuable alternative for the treatment of fractures of the lateral end of the clavicle. Coracoclavicular fixation provided and maintained the reduction of the fracture. Good clinical results can be achieved with a low risk of complications and without the need for metalwork removal.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.