Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

Keynote webinar | Spotlight on medication adherence

LIVE: Thursday 27th June 2024, 18:00-19:30 (CEST)
Join our expert panel to discover why you need to understand the drivers of non-adherence in your patients, and how you can optimize medication adherence in your clinics to drastically improve patient outcomes.
ADVANCED SEARCH
Log in
Top
International Orthopaedics
Published in: International Orthopaedics 5/2009

01-10-2009 | Original Paper

Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle

Authors: Yih-Shiunn Lee, Ming-Jye Lau, Ya-Chun Tseng, Wen-Chiao Chen, Hsin-Yi Kao, Jyh-Ding Wei

Published in: International Orthopaedics | Issue 5/2009

Login to get access

Abstract

Fifty-two patients with unstable fractures of distal clavicle treated by open reduction and internal fixation with hook plates or tension band wires were retrospectively reviewed. The 52 patients were divided into two groups based on the method of treatment. The hook plate (HP) group included 32 patients and the tension band wire (TBW) group included 20 patients. Both groups were similar in respect to injury mechanisms, compounding medical conditions, and shoulder score (p > 0.1). However, hook plating had a significantly lower rate of complication (p = 0.01) and symptomatic hardware (p = 0.001). In addition, hook plating better facilitated the return to work and athletic activity (p = 0.004 and p = 0.003, respectively). In conclusion, if surgery of distal clavicular fractures is indicated, internal fixation with a hook plate has more advantages than with tension band wires.
Literature
1.
Ballmer FT, Gerber C (1991) Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases. J Bone Joint Surg Br 73(2):291–294PubMed
2.
Constant CR, Murley AHG (1987) A clinical method of functional assessment of the shoulder. Clin Orthop 214:160–164PubMed
3.
Edwards DJ, Kavanagh TG, Flannery MC (1992) Fractures of the distal clavicle: a case for fixation. Injury 23(1):44–46PubMedCrossRef
4.
Eskola A, Vainonpaa S, Patiala H et al (1987) Outcome of operative treatment in fresh lateral clavicular fracture. Ann Chir Gynaecol 76(3):167–169PubMed
5.
Flinkkilä T, Ristiniemi J, Hyvönen P et al (2002) Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation. Acta Orthop Scand 73(1):50–53PubMedCrossRef
6.
Kashii M, Inui H, Yamamoto K (2006) Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clin Orthop 447:158–164PubMedCrossRef
7.
Kiefer H, Claes I, Burri C et al (1986) The stabilizing effect of various implants on the torn acromioclavicular joint. A biomechanical study. Arch Orthop Trauma Surg 106(1):42–46PubMedCrossRef
8.
Kona J, Bosse MJ, Staheli JW et al (1990) Type II distal clavicle fractures: a retrospective review of surgical treatment. J Orthop Trauma 4(2):115–120PubMed
9.
Leppilahti J, Jalovaara P (1999) Migration of Kirschner wires following fixation of the clavicle – a report of 2 cases. Acta Orthop Scand 70(5):517–519PubMed
10.
Mizue F, Shirai Y, Ito H (2000) Surgical treatment of comminuted fractures of the distal clavicle using Wolter clavicular plate. J Nippon Med Sch 67(1):32–34PubMedCrossRef
11.
Muramatsu K, Shigetomi M, Matsunaga T et al (2007) Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle. Arch Orthop Trauma Surg 127(3):191–194PubMedCrossRef
12.
Neer CS (1963) Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults. J Trauma 3:99–110PubMedCrossRef
13.
Neer CS (1968) Fractures of the distal third of the clavicle. Clin Orthop 58:43–50PubMed
14.
Nordqvist A, Petersson C, Redlund-Johnell I (1993) The natural course of lateral clavicle fracture. 15 (11–21) year follow-up of 110 cases. Acta Orthop Scand 64(1):87–91PubMedCrossRef
15.
Post M (1989) Current concepts in the treatment of fractures of the clavicle. Clin Orthop 245:89–101PubMed
16.
Tambe AD, Motkur P, Qamar A et al (2006) Fractures of the distal third of the clavicle treated by hook plating. Int Orthop 30(1):7–10PubMedCrossRef
17.
Yamaguchi H, Arakawa H, Kobayashi M (1998) Results of the Bosworth method for unstable fractures of the distal clavicle. Int Orthop 22(6):366–368PubMedCrossRef
Metadata
Title
Comparison of the efficacy of hook plate versus tension band wire in the treatment of unstable fractures of the distal clavicle
Authors
Yih-Shiunn Lee
Ming-Jye Lau
Ya-Chun Tseng
Wen-Chiao Chen
Hsin-Yi Kao
Jyh-Ding Wei
Publication date
01-10-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 5/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0696-7

Other articles of this Issue 5/2009

International Orthopaedics 5/2009 Go to the issue

Original Paper

Conventional drainage versus four hour clamping drainage after total knee arthroplasty in severe osteoarthritis: a prospective, randomised trial

Original Paper

Clinical and biological assessment of cemented titanium femoral stems: an 11-year experience

Original Paper

Functional and radiological outcome after total knee replacement performed with mini-midvastus or conventional arthrotomy: controlled randomised trial

Original Paper

Long-term outcomes of the revision open lumbar discectomy by fenestration: A follow-up study of more than 10 years

Original Paper

Leg length discrepancy in total hip arthroplasty: comparison of two methods of measurement

Original Paper

Triple pelvic osteotomy in the treatment of Legg-Calve-Perthes disease