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Clavicular hook plate for lateral end fractures:- a prospective study
Prasad V K Meda1, Bhuvaneswar Machani, Chris Sinopidis
1Department of Musculoskeletal Sciences, Royal Liverpool University Hospital, Liverpool, UK. kpmeda@gmail.com
Injury
|January 25, 2006
Summary
Clavicular hook plate fixation effectively treats Neer types II and III lateral end clavicle fractures, achieving good union and shoulder function. This method allows for anatomical reduction and early rehabilitation.
Area of Science:
- Orthopedic Surgery
- Traumatology
- Sports Medicine
Background:
- Lateral end clavicle fractures, particularly Neer types II and III, present challenges in achieving optimal outcomes.
- Surgical fixation is often required for displaced fractures to restore shoulder girdle function.
Purpose of the Study:
- To evaluate the clinical and radiological outcomes of clavicular hook plate fixation for Neer types II and III lateral end clavicle fractures.
- To assess the efficacy of hook plate fixation in promoting fracture union and functional recovery.
Main Methods:
- A prospective study involving 31 patients (24 males, 7 females) with a mean age of 49 years.
- Patients with Neer types II and III lateral end clavicle fractures were treated with a clavicular hook plate.
- Follow-up averaged 40 months, assessing clinical and radiological union, Constant scores, and ASES scores.
Main Results:
- All 31 patients achieved clinical and radiological union within a mean of 12 weeks.
- Mean Constant score at 3 months was 94, and mean ASES score was 26/30.
- The clavicular hook plate facilitated anatomical reduction and early patient rehabilitation.
Conclusions:
- Clavicular hook plate fixation is a reliable method for treating Neer types II and III lateral end clavicle fractures.
- The technique leads to excellent fracture union and good shoulder girdle function.
- Early rehabilitation and anatomical reduction are key advantages of this surgical approach.