Samenvatting
Gedisloceerde type-2-fracturen van de distale clavicula hebben een hoge incidentie van non-union. Bij actieve sporters of zware lichamelijke arbeid kan dit beperkingen in het dagelijks leven opleveren. In dit artikel wordt een nieuwe mini-open-techniek beschreven voor de fixatie van gedisloceerde distale claviculafracturen van het type 2 met behulp van CorkscrewsTM (Arthrex, Naples, Florida, VS) in het coracoïd.
Abstract
Dislocated type 2 distal clavicular fractures have a high incidence of non-union, which can cause significant disabilities in active sporters or heavy manual labourers in daily activities. In this article we describe a new mini-open technique for the fixation of dislocated type 2 distal clavicular fractures using Corkscrew fixation (Arthrex, Naples, Florida, USA) in the coracoid process.
Literatuur
Neer CSII. Fractures of the distal third of the clavicle. Clin Orthop 1968;58:43-50.
Neer CSII. Fractures of the distal clavicle with disruption of the coracoclavicular ligaments in adults. J Trauma 1963;3:99-110.
Robinson CM, Court-Brown CM, McQueen MM, e.a. Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Joint Surg 2004;7:1359-65.
Robinson CM, Cairns DA. Primary nonoperative treatment of displaced lateral fractures of the clavicle. J Bone Joint Surg Br 2004;4:778-82.
Edwards DJ, Kavanagh TG, Flannery MC. Fractures of the distal clavicle: a case for fixation. Injury 1992;23:44-60.
Neviaser RJ. Injuries to the clavicle and acromioclavicular joint. Orthop Clin North Am 1987;18:433-8.
Yamaguchi H, Arakawa H, Kobayashi M. Results of the Bosworth method for unstable fractures of the distal clavicle. Int Orthop 1998;22:366-8.
Mizue F, Shirai Y, Ito H. Surgical treatment of comminuted fractures of the distal clavicle using Walter clavicular plates. J Nippon Med Sch 2000;67:32-4.
Tambe AD, Motkur P, Qamar A, e.a. Fractures of the distal third of the clavicle treated by hook plating. Int Orthop 2006;30:7-10.
Katznelson A, Nerubay J, Oliver S. Dynamic fixation of the avulsed clavicle. J Trauma 1976;16:841-4.
Levy O. Simple, minimally invasive surgical technique for treatment of type 2 fractures of the distal clavicle. J Shoulder Elbow Surg 2003;1:24-8.
Goldberg JA, Bruce WJ, Sonnabend DH, e.a. Type 2 fractures of the distal clavicle: a new surgical technique. J Shoulder Elbow Surg 1997;6:380-2.
Kona J, Bosse MJ, Staeheli JW, e.a. Type 2 distal clavicle fractures: a retrospective review of surgical treatment. J Orthop Trauma 1990;4:115-20.
Scadden JE, Richards R. Intramedullary fixation of Neer type 2 fractures of the distal clavicle with an AO screw. Injury 2005;36:1172-5.
Der Tavitian J, Davison JN, Dias JJ. Clavicular fracture non-union and surgical outcome and complications. Injury 2002;33:135-43.
Hromadka M, Dahners L, Weinhold P. A comparison of fixation methods for acromioclavicular joint separation: a biomechanical study. J Orthop 2007;4(4)e8.
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.
Muramatsu K, Shigetomi M, Matsunaga T, e.a. Use of the AO hook plate for treatment of unstable fractures of the distal clavicle. Arch Orthop Trauma Surg 2007;127(3):191-4.
Jansen J, Arkel E van. Artroscopische stabilisatie van acute acromio-claviculaire luxatie – beschrijving van een nieuwe techniek en eerste resultaten. Ned Tijdsch Orthop 2007;14:143-7.
Additional information
arts-assistent Orthopedie, Medisch Centrum Haaglanden, Den Haag
orthopedisch chirurg, Medisch Centrum Haaglanden, Den Haag
orthopedisch chirurg, Medisch Centrum Haaglanden, Den Haag
Rights and permissions
About this article
Cite this article
Jansen, J.A., Keizer, S.B. & van Arkel, E.R.A. Anatomische reconstructie van distale claviculafractuur met Corkscrews: beschrijving van mini-open-techniek. TVTR 17, 93–95 (2009). https://doi.org/10.1007/BF03081711
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03081711