Comparison of Results in Operative Treatment for Neer type 2 Distal Clavicle Fracture

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Journal of the Korean Society for Surgery of the Hand 2008;13(4):311-316.
Published online December 1, 2008.

Hyun-Soo Park, Young-Soo Jang, Jong-Deuk Rha, Jong Won Kim, Byung-Hoon Lee, Min-Sok Shin, Jae-Wook Jung

Neer 제2형 원위 쇄골 골절에서 수술적 치료 방법에 따른 비교

박현수, 장영수, 라종득, 김종원, 이병훈, 신민석, 정재욱

Abstract

Purpose
To analyze and compare the results of the patients who underwent the operation using different surgical techniques for Neer type 2 distal clavicle fracture. Materials and Methods: We analyzed and compared the each surgical techniques such as, plate fixation, Phemister method, closed intramedullary fixation, Kwire fixation and screw fixation in 24 patients who underwent an operation for Neer type 2 distal clavicle fracture between November 1998 and June 2006. The analysis is based on MSRS clinical bone union and radiological bone union. Results: As a results, in plate fixation group(8 cases), we got 7 excellent cases and 1 good case. In Phemister method group(11 cases), 7 excellent cases, 2 good cases, 1 fair case, and 1 poor case, and in closed intramedullary fixation technique group(4 cases), 3 good cases, 1 poor case, in other hand, by using AC screw fixation, we got 1 poor case. Conclusion: The internal fixation technique with Tplate, we got better prognosis about acromioclavicular joint motion and more delayed union than other surgical techniques.

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