Fixation failure of the clavicular hook plate: a report of three cases
R M Charity1, S G Haidar, S Ghosh
1Department of Trauma and Orthopaedics, City Hospital, Birmingham, United Kingdom. r.charity@virgin.net
Abstract:
Open reduction and internal fixation for unstable fractures of the lateral end of the clavicle (Neer type II) is not complication-free. Most clavicle fractures can be successfully treated by conservative methods. Neer type II fractures have a reportedly high rate of nonunion, therefore internal fixation is recommended. However, the need for surgical treatment remains controversial as nonunion seldom produces a poor functional outcome. We report 3 cases of fixation failure following treatment with a clavicular hook plate. None of the patients required re-fixation surgery and all achieved bony union with a good functional result.
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