• Lei Han, Yungen Hu, Renfu Quan, Weili Fang, Bo Jin, and Ligang Huang.
• Department of Orthopaedics Institute, Xiaoshan Traditional Chinese Medical Hospital, Hangzhou, China.
• J Hand Surg Am. 2017 Dec 1; 42 (12): 1036.e1-1036.e6.

PurposeThe purpose of this study was to evaluate the clinical and radiographic outcomes of Neer type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with coracoclavicular ligament augmentation.MethodsTwelve patients with Neer Type IIb distal clavicle fractures treated with anatomical locking plate fixation combined with suture anchor augmentation of the coracoclavicular ligament, were retrospectively studied. Clinical outcomes were assessed using the Constant score and the Disabilities of the Arm, Shoulder, and Hand (DASH) score. Coracoclavicular distance was measured on plain radiographs.ResultsAll patients were reexamined at a mean follow-up of 26.3 months (range, 25-30 months). Bony union occurred in all cases within 12 weeks and no major complications were encountered. At the final follow-up, the mean Constant score was 94 (range, 87-100) and the DASH score was 10.4 (range, 2-20). The mean postoperative coracoclavicular distance on the injured side was decreased by 40% compared with the preoperative status.ConclusionsSurgical fixation of Neer type IIb distal clavicle fractures using anatomical locking plate fixation combined with suture anchor augmentation of the coracoclavicular ligament was associated with a satisfactory functional outcome and low complication rate.Type Of Study/Level Of EvidenceTherapeutic IV.Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

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