Skip to main content

Advertisement

SpringerLink
Log in

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

  • Original Paper
  • Published:
International Orthopaedics Aims and scope Submit manuscript

Abstract

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.

Résumé

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Ballmer FT, Gerber C (1991) Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases. J Bone Joint Surg Br 73(2):291–294

    PubMed  CAS  Google Scholar 

  2. Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164

    PubMed  Google Scholar 

  3. Edwards DJ, Kavanagh TG, Flannery MC (1992) Fractures of the distal clavicle: a case for fixation. Injury 23(1):44–46

    Article  PubMed  CAS  Google Scholar 

  4. Eskola A, Vainonpaa S, Patiala H et al (1987) Outcome of operative treatment in fresh lateral clavicular fracture. Ann Chir Gynaecol 76(3):167–169

    PubMed  CAS  Google Scholar 

  5. Flinkkilä T, Ristiniemi J, Hyvönen P et al (2002) Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation. Acta Orthop Scand 73(1):50–53

    Article  PubMed  Google Scholar 

  6. Kashii M, Inui H, Yamamoto K (2006) Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop 447:158–164

    Article  PubMed  Google Scholar 

  7. Kiefer H, Claes I, Burri C et al (1986) The stabilizing effect of various implants on the torn acromioclavicular joint. A biomechanical study. Arch Orthop Trauma Surg 106(1):42–46

    Article  PubMed  CAS  Google Scholar 

  8. Kona J, Bosse MJ, Staheli JW et al (1990) Type II distal clavicle fractures: a retrospective review of surgical treatment. J Orthop Trauma 4(2):115–120

    PubMed  CAS  Google Scholar 

  9. Leppilahti J, Jalovaara P (1999) Migration of Kirschner wires following fixation of the clavicle – a report of 2 cases. Acta Orthop Scand 70(5):517–519

    PubMed  CAS  Google Scholar 

  10. Mizue F, Shirai Y, Ito H (2000) Surgical treatment of comminuted fractures of the distal clavicle using Wolter clavicular plate. J Nippon Med Sch 67(1):32–34

    Article  PubMed  CAS  Google Scholar 

  11. Muramatsu K, Shigetomi M, Matsunaga T et al (2007) Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle. Arch Orthop Trauma Surg 127(3):191–194

    Article  PubMed  CAS  Google Scholar 

  12. Neer CS (1963) Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults. J Trauma 3:99–110

    Article  PubMed  Google Scholar 

  13. Neer CS (1968) Fractures of the distal third of the clavicle. Clin Orthop 58:43–50

    PubMed  Google Scholar 

  14. Nordqvist A, Petersson C, Redlund-Johnell I (1993) The natural course of lateral clavicle fracture. 15 (11–21) year follow-up of 110 cases. Acta Orthop Scand 64(1):87–91

    Article  PubMed  CAS  Google Scholar 

  15. Post M (1989) Current concepts in the treatment of fractures of the clavicle. Clin Orthop 245:89–101

    PubMed  Google Scholar 

  16. Tambe AD, Motkur P, Qamar A et al (2006) Fractures of the distal third of the clavicle treated by hook plating. Int Orthop 30(1):7–10

    Article  PubMed  CAS  Google Scholar 

  17. Yamaguchi H, Arakawa H, Kobayashi M (1998) Results of the Bosworth method for unstable fractures of the distal clavicle. Int Orthop 22(6):366–368

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Orthopedic Surgery, Lin Shin Hospital, No. 36, Huizhong Rd., Nanton District, Taichung City, 408, Taiwan

    Yih-Shiunn Lee, Ming-Jye Lau & Wen-Chiao Chen

  2. Department of Pediatrics, Lin Shin Hospital, Taichung City, 408, Taiwan

    Ya-Chun Tseng

  3. Department of Nursing, Lin Shin Hospital, Taichung City, 408, Taiwan

    Hsin-Yi Kao

  4. Department of Orthopedic Surgery, Shin-Kong Wu Ho-Su Memorial Hospital, No. 95, Wen-Chang Road, Shih-Lin District, Taipei, 111, Taiwan

    Jyh-Ding Wei

Authors
  1. Yih-Shiunn Lee
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ming-Jye Lau
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Ya-Chun Tseng
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Wen-Chiao Chen
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Hsin-Yi Kao
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Jyh-Ding Wei
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Jyh-Ding Wei.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Lee, YS., Lau, MJ., Tseng, YC. et al. Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle. International Orthopaedics (SICOT) 33, 1401–1405 (2009). https://doi.org/10.1007/s00264-008-0696-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00264-008-0696-7

Keywords

Search

Navigation