Int J Med Sci 2012; 9(4):301-305. doi:10.7150/ijms.4425
Surgical Treatment for Unstable Distal Clavicle Fracture with Micromovable and Anatomical Acromioclavicular Plate
Department of Orthopaedic Surgery, the 175th Hospital of PLA (the Affiliated Southeast Hospital of Xiamen University), Orthopaedic Trauma Center of PLA, Zhangzhou, 363000, PR China.
* Qingjun Liu and Jianyun Miao contributed equally to the work.
Liu Q, Miao J, Lin B, Lian K. Surgical Treatment for Unstable Distal Clavicle Fracture with Micromovable and Anatomical Acromioclavicular Plate. Int J Med Sci 2012; 9(4):301-305. doi:10.7150/ijms.4425. Available from http://www.medsci.org/v09p0301.htm
Between 2006 and 2009, 18 patients of distal clavicle fracture were treated with micro-movable and anatomical acromioclavicular plate (MAAP) in our department. According to the Neer's classification, all cases were unstable with type IIA (12 cases) and type IIB (6 cases). Functional outcome was evaluated using the Karlsson's criteria. The mean follow-up was 18 months (range, 12-36months). No postoperative plate screws complication was observed. Osseous union could be achieved at a mean time of 12 weeks after operation in 18 patients (range, 8 -16 weeks). According to Karlsson's criteria, radiographic appearances and postoperative shoulder functional recovery revealed a good and excellent rate in these cases. We conclude that surgical treatment using MAAP seems to be a good option for unstable type II fractures of the distal clavicle. This technique allows for reliable fixation with early functional exercises and functional recovery.
Keywords: Micro-movable fixation, Distal clavicle, Fracture, Acromioclavicular plate.