Closed-Loop Double Endobutton Technique for Repair of Unstable Distal Clavicle Fractures.

ABSTRACT:

Background

Displaced fractures of the distal clavicle are inherently unstable and lead to nonunion in a high percentage of cases. The optimal surgical management remains controversial.

Hypothesis

Indirect osteosynthesis with a closed-loop double endobutton construct would result in reliable fracture union and obviate the need for additional surgery.

Study design

Case series; Level of evidence, 4.

Methods

Eight patients with an acute unstable Neer type IIB distal clavicle fracture were treated with a closed-loop double endobutton implant. Mean follow-up averaged 3.4 years (range, 1-9 years). Two patients were lost to follow-up. The remaining 6 patients underwent a detailed functional and radiologic evaluation.

Results

Definitive fracture healing was achie

SUBMITTER: Struhl S 

PROVIDER: S-EPMC4963627 | biostudies-literature | 2016 Jul

REPOSITORIES: biostudies-literature