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http://dx.doi.org/10.5397/CiSE.2011.14.1.001

Coracoclavicular Ligament Augmentation Using Endobutton for Unstable Distal Clavicle Fractures - Preliminary Report -  

Cho, Chul-Hyun (Department of Orthopedic Surgery, School of Medicine, Keimyung University)
Jung, Gu-Hee (Department of Orthopedic Surgery, Gospel Hospital, Kosin University)
Sin, Hong-Kwan (Hanmi Hospital)
Lee, Young-Kuk (Hanmi Hospital)
Park, Jin-Hyun (Department of Orthopedic Surgery, School of Medicine, Keimyung University)
Publication Information
Clinics in Shoulder and Elbow / v.14, no.1, 2011 , pp. 1-5 More about this Journal
Abstract
Purpose: The purpose of this study was to evaluate the radiologic and clinical outcomes after operative treatment using endobuttons for unstable distal clavicle fractures. Materials and Methods: Between October 2007 and September 2009, 9 consecutive patients who were followed up for at least more than 12 months after operative treatment using a TightRope$^{(R)}$ were studied. The radiologic results on the serial plain radiographs and the clinical results according to the American Shoulder Elbow Surgeons (ASES) score were analyzed. Result: Bony union was shown in 8 cases (88.9%) and the average time to union was 12.9 (range: 9~16) weeks. The average coracoclavicular distances at the postoperative and final follow-up were 5.6 mm and 6.2 mm, respectively, with no statistically significant difference (p>0.05). The average ASES score was 90.3 (range: 78~96) and the clinical outcomes were 6 excellent, 2 good and one fair. There were no complications such as implant failure or infection except for one case of nonunion due to loss of the initial reduction. Conclusion: A major advantage of TightRope$^{(R)}$ fixation for unstable distal clavicle fractures is that no further surgery is needed to remove the implant. We suggest that this technique provides an alternative for fracture with a distal fragment, which is difficult to fix.
Keywords
Distal clavicle; Coracoclavicular ligament; Unstable fracture; TightRope$^{(R)}$;
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Times Cited By KSCI : 2  (Citation Analysis)
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