Locking plate combined with titanium cable for Neer type II distal clavicle fractures.

BACKGROUND

There is controversy about the optimal strategy treatment of unstable distal clavicle fractures. We explored use of a surgical strategy: combination of a distal clavicle locking plate and a titanium cable. The purpose of this retrospective case series study was to evaluate the clinical outcomes of this new strategy in treating Neer type II distal clavicle fractures.

METHODS

Twenty-one patients with Neer type II distal clavicle fracture were treated with a distal clavicle locking plate and a titanium cable. All patients were followed for at least one year. We retrospectively collected and reviewed follow-up data. The clinical outcomes were assessed for union rate, functional score, and complication rate.

RESULTS

All patients achieved bony union within 6 months. The average follow-up period was 20.6 months (range12-48 months). The mean Constant score at one-year follow-up was 94.6 ± 3.3 (range 84-98), and the mean UCLA (University of California, Los Angeles) score was 33.3 ± 2.6 (range 27-35). Only one complication (wound infection) was observed during follow-up. Two patients received another operation for implant removal due to local irritation.

CONCLUSIONS

Use of a distal clavicle locking plate in combination with a titanium cable for treatment of Neer type II fractures results in high union rate, a low complication rate, and good shoulder function. This combined surgical strategy can be considered an effective method for treating unstable distal clavicle fractures.