000166012 001__ 166012
000166012 005__ 20260116163027.0
000166012 0248_ $$2sideral$$a147387
000166012 037__ $$aART-2013-147387
000166012 041__ $$aeng
000166012 100__ $$aMorales-Dávila, J.
000166012 245__ $$aFractures of the distal clavicle: outcomes and complications of surgical treatment using the hook plate
000166012 260__ $$c2013
000166012 5060_ $$aAccess copy available to the general public$$fUnrestricted
000166012 5203_ $$aAim: Distal clavicle fractures account for 15% of all clavicle fractures. Neer type II lateral end fractures are associated with non-union rates of 30%. Further, fixations by way of hook plates seem to have proved successful. We report our experience using the hook plate in the treatment of distal clavicle fractures.
Methods: Twenty four patients with distal clavicle fractures were operated on and had an AO hook plate (Synthes®) implanted. 20 men and 4 women were retrospectively reviewed. The average age at time of surgery was 35 (range 18-74). All the patients presented with a Neer type II distal fracture. The average follow-up was 20 months (range 10 - 26), and the patients were radiologically and clinically evaluated during this period of time. The Constant-Murley score was used to measure shoulder movement, strength and pain. The patient’s ability to carry out his or her daily-life activities was measured with both the Constant-Murley score and the Oxford Test.
Results: Twenty four patients achieved clinical and radiologic union and one patient suffered from failure of fixation. All the plates were removed. In the last visit, the mean Constant-Murley score and the mean Oxford score were 85 and 42, respectively, and seven patients presented with osteolysis. All patients were able to return to their preinjury activity level.
Conclusion: Hook plate fixations of distal clavicle fractures offer good functional results with the shortcoming of plate removal after bone fusion is achieved. Osteolysis is a common complication associated with keeping the implant for over 6 months and it did not result in poor functional outcomes.
000166012 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttps://creativecommons.org/licenses/by/4.0/deed.es
000166012 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000166012 700__ $$aDomingo-Trepat, A.
000166012 700__ $$aRíos-Martín, M.
000166012 700__ $$aCarreño-Delgado, A.
000166012 700__ $$0(orcid)0000-0003-1114-4045$$aBallesteros-Betancourt, J.R.
000166012 700__ $$aGarcía-Elvira, R.
000166012 700__ $$aGarcía-Tarriño, R.
000166012 700__ $$aCamacho-Carrasco, P.
000166012 700__ $$aZ umbado, A.
000166012 700__ $$aPrat-Fabregat, S.
000166012 773__ $$g64, 3 (2013), 333 - 340$$pMINERVA ORTOPEDICA E TRAUMATOLOGICA$$tMINERVA ORTOPEDICA E TRAUMATOLOGICA$$x0394-3410
000166012 8564_ $$s577179$$uhttps://zaguan.unizar.es/record/166012/files/texto_completo.pdf$$yVersión publicada
000166012 8564_ $$s2331580$$uhttps://zaguan.unizar.es/record/166012/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000166012 909CO $$ooai:zaguan.unizar.es:166012$$particulos$$pdriver
000166012 951__ $$a2026-01-16-14:54:51
000166012 980__ $$aARTICLE