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Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage

  • Frank MartetschlägerEmail author
  • Tobias M. Kraus
  • Clara Sophie Schiele
  • Gunther Sandmann
  • Sebastian Siebenlist
  • Karl F. Braun
  • Ulrich Stöckle
  • Thomas Freude
  • Markus Neumaier
Shoulder

Abstract

Purpose

The purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2).

Methods

Thirty patients, treated between January 2007 and January 2010 were followed up after a median follow-up time of 12.2 months (range 4.7–37.2). The Constant and DASH scores were used to evaluate the clinical outcome, and anterior–posterior and 30° cephalic view radiographs were performed to assess the bony healing.

Results

In all patients, the fracture healing was achieved within the first 10 weeks after surgery. All patients regained good or excellent shoulder function and returned to previous occupation and activity levels. The mean Constant and DASH scores were 92.3 points and 6.2 points, respectively. We did not observe any severe intra- or post-operative complication within the time of follow-up.

Conclusion

The presented technique turned out to be a reliable method providing good results without showing severe complications.

Level of evidence

Case series, Level IV.

Keywords

Distal clavicle fracture Clavicle fracture Locking T-plate PDS augmentation 

Notes

Acknowledgments

Neither the author nor the co-authors have to declare any conflicts of interest.

Ethics standard

IRB approval No. 5067/11 (ethics commission University Clinic rechts der Isar, Munich).

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Copyright information

© Springer-Verlag 2012

Authors and Affiliations

  • Frank Martetschläger
    • 1
    • 2
    Email author
  • Tobias M. Kraus
    • 1
  • Clara Sophie Schiele
    • 1
  • Gunther Sandmann
    • 1
  • Sebastian Siebenlist
    • 1
  • Karl F. Braun
    • 1
  • Ulrich Stöckle
    • 3
  • Thomas Freude
    • 3
  • Markus Neumaier
    • 1
  1. 1.Clinic for Trauma SurgeryUniversity Hospital Rechts der Isar, Technical University MunichMunichGermany
  2. 2.The Steadman ClinicSteadman Philippon Research InstituteVailUSA
  3. 3.BG Trauma Clinic TübingenUniversity Hospital TübingenTübingenGermany

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