• Yang Li, Sheng Shi, Yue-Ping Ou-Yang, and Tie-Long Liu.
• Department of Orthopaedic Surgery, Kunming General Hospital of the PLA, Kunming, People's Republic of China.
• J Trauma. 2011 Aug 1; 71 (2): E37-40.

BackgroundNeer IIB distal clavicle fracture is associated with disruption of the coracoclavicular ligament and a variable degree of displacement. Surgical treatment using various implants such as intramedullary wires, screws, and plates has been described in the literature with satisfactory results.MethodsWe report our experience of minimally invasive treatment using titanium cable for type IIB clavicular fractures. A retrospective analysis was performed to evaluate the outcomes of patients with Neer IIB distal clavicle fractures that were treated with titanium cable between 2003 and 2008. Functional outcome was evaluated using the Karlsson's criteria. The mean follow-up was 32 months (range, 12-48 months). Twenty-nine patients met the inclusion criteria.ResultsAll patients progressed to osseous union at a mean time of 12 weeks (range, 10-15 weeks). There was one metal work failure that did not affect functional recovery. According to Karlsson's criteria, radiographic representations (3 months after surgery) and postoperative shoulder functional recovery revealed an excellent and good rate in all cases.ConclusionMinimally invasive surgery using titanium cable seems to be a good option for the treatment of Neer IIB distal clavicle fractures, with early functional recovery and no requirement for revision surgery.

29 keywords...

hide…