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Coracoclavicular stabilization using a suture button device for Neer type IIB lateral clavicle fractures
Chul-Hyun Cho1, Jae-Hoon Jung2, Beom-Soo Kim1
1Department of Orthopedic Surgery, Pain Research Center, Dongsan Medical Center, School of Medicine, Keimyung University, Daegu, Republic of Korea.
Journal of Shoulder and Elbow Surgery
|December 5, 2016
Summary
Coracoclavicular (CC) stabilization with a suture button device effectively treats Neer type IIB clavicle fractures, showing high union rates and good clinical results. This method offers the advantage of not requiring implant removal.
Area of Science:
- Orthopedic surgery
- Traumatology
- Sports medicine
Background:
- Neer type IIB lateral clavicle fractures are common injuries.
- Coracoclavicular (CC) stabilization is a surgical option for these fractures.
- Suture button devices offer a minimally invasive approach.
Purpose of the Study:
- To evaluate the radiologic and clinical outcomes of CC stabilization using a suture button device.
- To assess the efficacy and safety of the TightRope device for Neer type IIB fractures.
Main Methods:
- Eighteen patients with Neer type IIB fractures underwent CC stabilization with the TightRope device.
- Follow-up averaged 46.6 months.
- Radiologic and clinical outcomes were assessed using validated scoring systems and plain radiographs. Complications were recorded.
Main Results:
- A high bony union rate of 94.4% was observed.
- Satisfactory clinical outcomes were reported, with low pain scores and high functional scores (UCLA, ASES, SSV).
- Four complications occurred, including one coracoid process fracture managed with an alternative technique.
Conclusions:
- CC stabilization with a suture button device provides satisfactory radiologic and clinical outcomes for Neer type IIB lateral clavicle fractures.
- A significant advantage of this technique is the avoidance of a second surgery for hardware removal.
