Department of Orthopaedics and Traumatology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Surgery, School of Medicine, National Yang-Ming University, Taipei, Taiwan.
Division of Medical Imaging for Health Management, Cheng-Hsin General Hospital, Taipei, Taiwan.
J Shoulder Elbow Surg. 2018 Feb;27(2):224-230. doi: 10.1016/j.jse.2017.08.017. Epub 2017 Oct 18.
Treatment of displaced distal clavicular fractures is still controversial. This study reports the utility of a new coracoclavicular (CC) loop technique for acute displaced distal clavicular fractures and compared its surgical outcomes with those of the hook plate method.
In this retrospective study, a total of 23 patients with acute displaced distal clavicular fractures were treated with a new CC loop technique at a single institution from 2010 to 2014. Another group comprising 49 patients treated with a hook plate was compared with the CC loop group regarding clinical and radiologic outcomes.
Seventy-two patients with at least 1 year of follow-up after both operations were included in this study. The Constant score was significantly greater in the CC loop group (95 vs 87, P = .009) at final follow-up. Moreover, the complication rate was significantly lower in the CC loop group (0% vs 24.5%, P = .007). The University of California, Los Angeles shoulder score and radiologic nonunion rate revealed no significant differences between the 2 groups.
The new CC loop technique had better clinical outcomes and lower complication rates compared with the hook plate technique.
移位性锁骨远端骨折的治疗仍存在争议。本研究报告了一种新的喙锁（CC）环技术治疗急性移位性锁骨远端骨折的效果，并将其手术结果与钩钢板方法进行了比较。
在这项回顾性研究中，2010 年至 2014 年，一家机构共对 23 例急性移位性锁骨远端骨折患者采用新的 CC 环技术进行治疗。将这组患者与采用钩钢板治疗的 49 例患者进行了临床和影像学结果比较。
本研究共纳入了两种手术治疗后至少随访 1 年的 72 例患者。最终随访时，CC 环组的Constant 评分显著更高（95 分比 87 分，P=0.009）。此外，CC 环组的并发症发生率显著更低（0%比 24.5%，P=0.007）。加州大学洛杉矶分校（UCLA）肩部评分和影像学骨折不愈合率在两组间无显著差异。
与钩钢板技术相比，新的 CC 环技术具有更好的临床效果和更低的并发症发生率。
