K-wire fixation and clavicular hook plate fixation in the treatment of unstable fractures of the distal clavicle

Authors

  • Aamir Bin Sabir 1Associate Professor, Department of Orthopaedic Surgery, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, U.P., India Author

DOI:

https://doi.org/10.61841/fdpq9h90

Keywords:

Clavicular hook plate,, Distalclavicular fractures, K-wire fixation

Abstract

Background: Unstable fracture of the distal clavicle is usually accepted as an indication for surgical treatment. The present study was conducted to compare K-wire fixation and clavicular hook plate fixation in the treatment of unstable fractures of the distal clavicle.

Materials & Methods: 68 fractures of the distal clavicle patients of either gender were classified into batches of 2 containing 34 patients each. Group I patients were treated with K-wire fixation and group II with clavicular hook plate fixation. Shoulder function was evaluated with the Constant-Murley scoring system.

Results: In group I and group II, mode of trauma was RTA in 15 and 18, fall in 12 and 10, sports injury in 7 and 6, side affected was dominant in 25 and 22 and non- dominant in 9 and12. Associated injuries were present in 14 and 16 and absent in 20 and 18. The mean L’ Insalata score in group I patients was 90 and in group II was 91, constant score was 85 in group I and 89 in group II. Complications found were infection in 4 in group I and 2 in group II, loss of reduction 2 in group I and 1 in group II and non- union1 in group I. The difference was significant (P< 0.05).

Conclusion: Management of distal clavicular fractures with clavicular hook plate found to be better as compared to K-wire fixation.

Downloads

Download data is not yet available.

References

1. Neviaser R J. Injuries to the clavicle and acromioclavicular joint. OrthopClin North Am 1987; 18 (3): 433- 8.

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

3. Poigenfurst J, Baumgarten-Hofmann U, Hofmann J. Unstable fractures of the lateral end of the clavicle and principles of their treatment. Unfallchirurg 1991; 17 (3): 131-9.

4. Schmittinger K, Sikorski A. Erfahrungenmit der Balser- Platte beiSprengung des Akromioklavikulargelenkes und lateralenKlavikulafrakturen. AktuelleTraumatologie 1983; 13 (5): 190-3.

5. Webber M C, Haines J F. The treatment of lateral clavicle fractures. Injury 2000; 31 (3): 175-9.

6. Yamaguchi H, Arakawa H, Kobayashi M. Results of the Bosworth method for unstable fractures of the distal clavicle. IntOrthop 1998; 22 (6): 366-8.

7. Kiefer H, Claes l, Burri C, Holzworth J. The stabilizing effect of various implants on the torn acromioclavicular joint. A biomechanical study. Arch Orthop Trauma Surg 1986; 106 (1): 42-6.

8. Kona J, Bosse M J, Staheli J W, Rosseau R L. Type II distal clavicle fractures: a retrospective review of surgical treatment. J Orthop Trauma 1990; 4 (2): 115-20.

9. Leppilahti J, Jalovaara P. Migration of Kirschner wires following fixation of the clavicle–a report of 2 cases. ActaOrthopScand 1999; 70 (5): 517-9.

10. Lyons F A, Rockwood C A Jr. Migration of pins used on the shoulder. J Bone Joint Surg (Am) 1990; 72-A

(8): 1262-7.

11. Mizue F, Shirai Y, Ito H. Surgical treatment of comminuted fractures of the distal clavicle using Wolterclavicular plates. J Nippon Med Sch 2000; 67 (1): 32-4

12. Flinkkilä T, Ristiniemi J, Hyvönen P, Hämäläinen M. Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation. ActaOrthopaedicaScandinavica. 2002 Jan 1;73(1):50-3.

13. Kiefer H, Claes l, Burri C, Holzworth J. The stabilizing effect of various implants on the torn acromioclavicular joint. A biomechanical study. Arch Orthop Trauma Surg 1986; 106 (1): 42-6.

14. Eberle C, Fodor P, Metzger U. Hakenplatte (sog. Balser- platte) oderZuggurtungmit Bosworth- Schraubebeivoll- standigerAcromio-clavicular-Luxation und lateralerCla- viculafraktur. Z UnfallchirVersicherungsmed 1992; 85 (3): 134-9.

Downloads

Published

28.02.2011

How to Cite

Sabir, A. B. (2011). K-wire fixation and clavicular hook plate fixation in the treatment of unstable fractures of the distal clavicle. International Journal of Psychosocial Rehabilitation, 15(No. 1), 109-113. https://doi.org/10.61841/fdpq9h90