Functional and Radiological Outcome of Displaced Lateral End Clavicle Fractures Treated With Open Reduction and...

Area of Science:

• Orthopedic Surgery
• Traumatology

Background:

• Displaced lateral end clavicle fractures present significant challenges, often leading to non-union and functional deficits with conservative treatment.
• Traditional surgical methods may not always preserve shoulder biomechanics, impacting patient outcomes.

Purpose of the Study:

• To evaluate the efficacy of open reduction and twin coracoclavicular endobutton fixation for displaced lateral clavicle fractures.
• To assess functional and radiological outcomes, complication rates, and patient satisfaction following this novel surgical technique.

Main Methods:

• A prospective study involving 20 male patients with Neer type IIB and V displaced lateral clavicle fractures.
• Surgical intervention using open reduction and a twin coracoclavicular endobutton construct.
• Functional assessment via Constant-Murley scores and radiological evaluation of fracture union and displacement.

Main Results:

• Significant improvement in Constant-Murley scores from 60.3 at 6 weeks to 87.4 at 6 months (P < 0.01).
• 95% fracture union rate by 6 months with minimal residual displacement (1.1 mm).
• Low complication rates (5% superficial infection, 5% mild stiffness) and high patient satisfaction (90% highly satisfied).

Conclusions:

• Open reduction and endobutton fixation is a highly effective treatment for displaced lateral clavicle fractures.
• This technique demonstrates excellent functional recovery, high union rates, and minimal complications, making it a reliable alternative.
• Further research is recommended to establish this method as a gold standard in treating these fractures.