ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2021
Outcomes after locking plate fixation of distal clavicle fractures with and without coracoclavicular ligament augmentation.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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13 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.
- Different internal fixation methods for unstable distal clavicle fractures in adults: a systematic review and network meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Locking Plate With or Without Cerclage Augmentation Versus Hook Plate for Neer Type II Distal Clavicle Fractures: A Single-Center Retrospective Cohort.Medicina (Kaunas, Lithuania) · 2025Article
- Importance of suture Endobutton augmentation in type 2B clavicle fracture fixation using a locking plate.Clinics in shoulder and elbow · 2025Article
- Distal augmentation in unstable distal clavicle fractures: a retrospective cohort study of 101 cases.Archives of orthopaedic and trauma surgery · 2025Article
- Coracoclavicular fixation techniques for Neer IIb and "extralateral" fractures of the distal clavicle: a systematic review.JSES reviews, reports, and techniques · 2024Review
- Biomechanical evaluation of fixation of the coracoclavicular stand-alone cow-hitch suture reconstruction in comparison to two established techniques for highly unstable distal clavicle fractures (Neer type V).JSES international · 2024Article
- Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury.Journal of clinical medicine · 2024Article
- Lateral clavicle fracture-plating options and considerations.World journal of clinical cases · 2024Article
- Article
- Comparing the Efficacy of Anatomical Locked Plate Fixation with Coracoclavicular Ligament Augmentation to Hook Plate Fixation in Treating Distal Clavicle Fractures.Orthopaedic surgery · 2022Article
- [Effectiveness analysis of Endobutton plate combined with high-strength suture Nice knot fixation in the treatment of distal clavicle fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2022Article
- Residual coracoclavicular separation after plate fixation for distal clavicle fractures: comparison between fracture patterns.JSES international · 2021Article
- [Clavicular hook plate with coracoclavicular ligament augmentation by suture anchor in the treatment of unstable distal clavicle fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
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4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe need for coracoclavicular (CC) ligament augmentation when performing locking plate fixation of unstable distal clavicle fractures is controversial. The purpose of this study was to compare the results after locking plate fixation for treatment of Neer type-II and type-V distal clavicle fractures with and without suture suspensory augmentation of the CC ligaments.
methodsThis was a retrospective case series of all Neer type-II and type-V distal clavicle fractures treated with locking plates at a single Level I trauma center. Patients were separated into locking plate-only and locking plate with CC ligament augmentation groups. Postoperative complications and fracture healing rates were recorded. Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) scores were recorded as functional outcomes during follow-up phone interviews. Standard descriptive statistics were performed.
resultsSixteen patients were treated with locking plate fixation-only, and seven patients were treated with additional CC ligament augmentation. There was a similar distribution of Neer fracture types with each group. All fractures in both groups went onto union without loss of reduction or implant failure. There were no cases of infection or wound complications in either group. QuickDASH scores were comparable between locking plate-only fixation (mean 4.1 ± 3.9) and additional suspensory suture fixation (mean 4.5 ± 3.6).
conclusionThis comparative study of Neer type-II and type-V distal clavicle fractures demonstrated comparable outcomes after locking plate fixation with and without CC ligament augmentation. CC ligament augmentation may not be necessary when treating unstable distal clavicle fractures if locking plate fixation is used.
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