Minimally Invasive Treatment for Neer IIB Distal Clavicle Fractures With Titanium Cable

作者：Li, Yang; Shi, Sheng; Ou-Yang, Yue-Ping^*; Liu, Tie-Long

来源：Journal of Trauma-Injury Infection and Critical Care, 2011, 71(2): E37-E40.

DOI：10.1097/TA.0b013e318213f5a6

• Minimally invasive surgery
• Distal clavicle fracture
• Serious displace titanium cable

Background: Neer IIB distal clavicle fracture is associated with disruption of the coracoclavicular ligament and a variable degree of displacement. Surgical treatment using various implants such as intramedullary wires, screws, and plates has been described in the literature with satisfactory results. @@@ Methods: We report our experience of minimally invasive treatment using titanium cable for type IIB clavicular fractures. A retrospective analysis was performed to evaluate the outcomes of patients with Neer IIB distal clavicle fractures that were treated with titanium cable between 2003 and 2008. Functional outcome was evaluated using the Karlsson's criteria. The mean follow-up was 32 months (range, 12-48 months). Twenty-nine patients met the inclusion criteria. @@@ Results: All patients progressed to osseous union at a mean time of 12 weeks (range, 10 - 15 weeks). There was one metal work failure that did not affect functional recovery. According to Karlsson's criteria, radiographic representations (3 months after surgery) and postoperative shoulder functional recovery revealed an excellent and good rate in all cases. @@@ Conclusion: Minimally invasive surgery using titanium cable seems to be a good option for the treatment of Neer IIB distal clavicle fractures, with early functional recovery and no requirement for revision surgery.

• 出版日期2011-8
• 单位成都军区昆明总医院; 天津市中医药研究院附属医院; 中国人民解放军第二军医大学