International Orthopaedics

, Volume 33, Issue 5, pp 1401–1405 | Cite as

Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle

  • Yih-Shiunn Lee
  • Ming-Jye Lau
  • Ya-Chun Tseng
  • Wen-Chiao Chen
  • Hsin-Yi Kao
  • Jyh-Ding WeiEmail author
Original Paper


Fifty-two patients with unstable fractures of distal clavicle treated by open reduction and internal fixation with hook plates or tension band wires were retrospectively reviewed. The 52 patients were divided into two groups based on the method of treatment. The hook plate (HP) group included 32 patients and the tension band wire (TBW) group included 20 patients. Both groups were similar in respect to injury mechanisms, compounding medical conditions, and shoulder score (p > 0.1). However, hook plating had a significantly lower rate of complication (p = 0.01) and symptomatic hardware (p = 0.001). In addition, hook plating better facilitated the return to work and athletic activity (p = 0.004 and p = 0.003, respectively). In conclusion, if surgery of distal clavicular fractures is indicated, internal fixation with a hook plate has more advantages than with tension band wires.


Unstable Fracture Athletic Activity Hook Plate Subacromial Impingement Distal Clavicle 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


52 patients présentant une fracture instable de la clavicule ont été traités par réduction sanglante et fixation interne par plaques crochet. Les 52 patients ont été revus et ont été divisés en deux groupes en fonction de la méthode de traitement. L’ostéosynthèse par plaques crochet HP groupe 1 incluait 32 patients et le haubannage TBW 20 patients. Les deux groupes sont identiques en ce qui concerne le mécanisme des traumatismes, les problèmes médicaux, les scores épaule (p > 0,1). Cependant le traitement par crochet-plaque permet une diminution significative des complications (p = 0,01) notamment matérielles (p = 0,001). Par ailleurs cette ostéosynthèse par crochet-plaque permet une reprise plus rapide du travail et des activités sportives (p = 0,004, 0,003 respectivement). En conclusion, si il existe une indication chirurgicale dans les fractures distales de la clavicule, il est indiqué de réaliser l’ostéosynthèse par crochet-plaque. Cette ostéosynthèse présente beaucoup plus d’avantages que l’ostéosynthèse par hauban.


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Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  • Yih-Shiunn Lee
    • 1
  • Ming-Jye Lau
    • 1
  • Ya-Chun Tseng
    • 2
  • Wen-Chiao Chen
    • 1
  • Hsin-Yi Kao
    • 3
  • Jyh-Ding Wei
    • 4
    Email author
  1. 1.Department of Orthopedic SurgeryLin Shin HospitalTaichung CityTaiwan
  2. 2.Department of PediatricsLin Shin HospitalTaichung CityTaiwan
  3. 3.Department of NursingLin Shin HospitalTaichung CityTaiwan
  4. 4.Department of Orthopedic SurgeryShin-Kong Wu Ho-Su Memorial HospitalTaipeiTaiwan

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