• J Orthop Trauma · Nov 2014

    Case Reports

    Fixation of unstable type II clavicle fractures with distal clavicle plate and suture button.

    • Peter S Johnston, Benjamin W Sears, Mark R Lazarus, and Barbara G Frieman.
    • *Southern Maryland Orthopaedics and Sports Medicine, St. Mary's Hospital, Leonardtown, MD; †Synergy Orthopedics, St. Anthony North Hospital, Westminster, CO; and ‡Thomas Jefferson University Hospitals, Rothman Institute, Philadelphia, PA.
    • J Orthop Trauma. 2014 Nov 1;28(11):e269-72.

    AbstractThis article reports on a technique to treat unstable type II distal clavicle fractures using fracture-specific plates and coracoclavicular augmentation with a suture button. Six patients with clinically unstable type II distal clavicle fractures underwent treatment using the above technique. All fractures demonstrated radiographic union at 9.6 (8.4-11.6) weeks with a mean follow-up of 15.6 (12.4-22.3) months. American Shoulder and Elbow Surgeons, Penn Shoulder Score, and Single Assessment Numeric Evaluation scores were 97.97 (98.33-100), 96.4 (91-99), and 95 (90-100), respectively. One patient required implant removal. Fracture-specific plating with suture-button augmentation for type II distal clavicle fractures provides reliable rates of union without absolute requirement for implant removal.

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