• Frank Martetschläger, Tobias M Kraus, Clara Sophie Schiele, Gunther Sandmann, Sebastian Siebenlist, Karl F Braun, Ulrich Stöckle, Thomas Freude, and Markus Neumaier.
• Clinic for Trauma Surgery, University Hospital Rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany. fmartetschlaeger@sprivail.org
• Knee Surg Sports Traumatol Arthrosc. 2013 May 1; 21 (5): 1189-94.

PurposeThe purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2).MethodsThirty patients, treated between January 2007 and January 2010 were followed up after a median follow-up time of 12.2 months (range 4.7-37.2). The Constant and DASH scores were used to evaluate the clinical outcome, and anterior-posterior and 30° cephalic view radiographs were performed to assess the bony healing.ResultsIn all patients, the fracture healing was achieved within the first 10 weeks after surgery. All patients regained good or excellent shoulder function and returned to previous occupation and activity levels. The mean Constant and DASH scores were 92.3 points and 6.2 points, respectively. We did not observe any severe intra- or post-operative complication within the time of follow-up.ConclusionThe presented technique turned out to be a reliable method providing good results without showing severe complications.Level Of EvidenceCase series, Level IV.

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