Long-term results following polydioxanone sling fixation technique in unstable lateral clavicle fracture

  • Kar H. TeohEmail author
  • Sian A. Jones
  • Juan D. Robinson
  • Mark G. Pritchard
Original Article • SHOULDER - FRACTURES


Neer type II (Edinburgh type 3B) fractures of the lateral clavicle are unstable fractures. The optimal management of these fractures remains controversial with many surgical techniques described in the literature. Our study reports the long-term results of a modified suture (1.5-mm polydioxanone cord) and sling technique for these fractures to avoid complications associated with current techniques in the literature. Over a 5-year period, 23 patients who were (12 males, 11 females; 14 left, 9 right) with a mean age of 42 years were treated with this technique. At last follow-up, the mean Oxford score was 45.1 (range 36–48); the mean SPADI score was 7.4 (range 0–32.3); and the mean Constant score was 91.5 (range 71–100). There were one non-union and no malunion. All patients in our series, except one, returned to their pre-injury activity level. This modified suture fixation technique is safe, technically simple to perform and cheap. It achieves excellent rates of fracture union without the complications associated with other fixation methods in the literature.


Suture and sling Polydioxanone Lateral clavicle fracture Neer type 2 Edinburgh type 3B 



We would like to acknowledge the technical help given by the Medical Illustration Department at Morriston Hospital in producing the surgical animation.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Supplementary material

Supplementary material 1 (WMV 28498 kb)


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Copyright information

© Springer-Verlag France 2016

Authors and Affiliations

  1. 1.The Shoulder Unit, Department of Trauma and OrthopaedicsMorriston HospitalMorristonUK

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