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Archives of Orthopaedic and Trauma Surgery
Published in: Archives of Orthopaedic and Trauma Surgery 9/2020

01-09-2020 | Trauma Surgery

Postoperative results of Ogawa type IIB meta-acromion fracture fixation with a 90° twisted reconstruction plate

Authors: George A. Konstantinidis, Troy Smithers, Thin Foo Hong

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 9/2020

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Abstract

Introduction

Acromion fractures are rare and difficult to treat. There is no consensus on type of fixation. Due to the rarity of the injury, it is difficult to compare different techniques of osteosynthesis.

Objectives

The aim of this study was to present the long-term results of an alternative method of plating Ogawa type IIB meta-acromion fractures and to review the literature.

Design

Retrospective study.

Materials and methods

We present a case series of 11 consecutive patients with displaced Ogawa type IIB meta-acromion fracture, treated with open reduction internal fixation using a 3.5-mm contoured pelvic reconstruction plate with a 90° twist. Patients’ mean age was 53.3 years (23–80 years) and the mean follow-up was 48.3 months (15 months–9 years). The outcomes related to pain and shoulder function were evaluated by Modified American Shoulder and Elbow Surgeons Score (ASES) and SF-36 score. All patients were asked about their satisfaction level.

Results

Nine out of eleven patients were included in this study. Eight of them obtained union and all were satisfied with the final outcome. The mean ASES and SF-36 score were 69.75 (42.4–98.14) and 61.37 (41.64–94.99), respectively, with poor scores to be largely associated with comorbidities and concomitant injuries.

Conclusions

The use of 3.5-mm reconstruction plate with a 90° twist for open reduction internal fixation (ORIF) of meta-acromion fractures presents satisfactory results and could be technically a more stable biomechanical construct in comparison to the existing surgical techniques.
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Metadata
Title
Postoperative results of Ogawa type IIB meta-acromion fracture fixation with a 90° twisted reconstruction plate
Authors
George A. Konstantinidis
Troy Smithers
Thin Foo Hong
Publication date
01-09-2020
Publisher
Springer Berlin Heidelberg
Published in
Archives of Orthopaedic and Trauma Surgery / Issue 9/2020
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI
https://doi.org/10.1007/s00402-020-03351-4

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