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Acta Ortopédica Mexicana

ISSN 2992-8036 (Electronic)
ISSN 2306-4102 (Print)
Órgano Oficial del Colegio Mexicano de Ortopedia y Traumatología
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2021, Number 2

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Acta Ortop Mex 2021; 35 (2)

Coraco-clavicular loop and tension band suture in type II and type V distal-third clavicle fractures

Jiménez I, Muratore G, Marcos-García A
Full text How to cite this article 10.35366/101873

DOI

DOI: 10.35366/101873
URL: https://dx.doi.org/10.35366/101873

Language: Spanish
References: 7
Page: 236-239
PDF size: 162.99 Kb.


Key words:

Distal clavicle fracture, coracoclavicular fixation, lateral clavicle, suture technique.

ABSTRACT

Many surgical techniques have been used to address unstable distal third clavicle fractures. Complications and the need for hardware removal are still a concern. We propose a surgical technical using high-strength sutures to restore vertical and horizontal stability in Neer type II and Neer type V distal-third clavicle fractures. It has been used in three cases; two type V and one type II. In all cases, bone healing was achieved uneventfully and all patients resumed their pre-injury activities including sports at six–months postoperatively. The coraco-clavicular loop and tension band suture technique is a simple procedure that allows vertical and horizontal stabilization of the fracture. It achieves good clinical results and it may be a cost–effective alternative to other techniques although a longer series and long–term follow–up is required to adequately assess the results.


REFERENCES

  1. Yagnik GP, Brady PC, Zimmerman JP, Jordan CJ, Porter DA. A biomechanical comparison of new techniques for distal clavicular fracture repair versus locked plating. J Shoulder Elbow Surg. 2019; 28: 982-8.

  2. Badhe SP, Lawrence TM, Clark DI. Tension band suturing for the treatment of displaced type 2 lateral end clavicle fractures. Arch Orthop Trauma Surg. 2007; 127: 25-8.

  3. Boonard M, Sumanont S, Arirachakaran A, Sikarinkul E, Ratanapongpean P, Kanchanatawan W, et al. Fixation method for treatment of unstable distal clavicle fracture: systematic review and network meta-analysis. Eur J Orthop Surg Traumatol. 2018; 28: 1065-78.

  4. Neer CS 2nd. Fractures of the distal third of the clavicle. Clin Orthop Relat Res. 1968; 58: 43-50.

  5. Rose MT, Noyes MP, Denard PJ. Arthroscopy-assisted treatment of displaced distal clavicle fractures utilizing curved buttons and suture tape with a single coracoclavicular tunnel. Tech Hand Up Extrem Surg. 2018; 22: 94-8.

  6. Levy O. Simple, minimally invasive surgical technique for treatment of type 2 fractures of the distal clavicle. J Shoulder Elbow Surg. 2003; 12: 24-8.

  7. Oh JH, Kim SH, Lee JH, Shin SH, Gong HS. Treatment of distal clavicle fracture: a systematic review of treatment modalities in 425 fractures. Arch Orthop Trauma Surg. 2011; 131: 525-33.




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Acta Ortop Mex. 2021 Mar-Abr;35