Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate

Shin,  Sung Il; Song,  Kyung Won; Lee,  Jin Young; Lee,  Seung Yong; Kim,  Gab Rae; Hyun,  Yoon Suk; Lee,  Kwang Nam; Lee,  Eun Soo

doi:2009.12.1.14

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Clin Shoulder Elb > Volume 12(1); 2009 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2009;12(1):14-20.
DOI: https://doi.org/10.5397/CiSE.2009.12.1.014 Published online June 30, 2009.

Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate

Sung Il Shin, Kyung Won Song, Jin Young Lee, Seung Yong Lee, Gab Rae Kim, Yoon Suk Hyun, Kwang Nam Lee, Eun Soo Lee

Department of Orthopedic Surgery, Kangdong Sacred Heart Hospital, Hallym University School of Medicine, Seoul, Korea. ys7933@naver.com

Wolter 금속판를 이용한 제 2형 원위부 쇄골 골절의 치료

신성일·송경원·이진영·이승용·김갑래·현윤석·이광남·이은수

한림대학교 의과대학 강동성심병원 정형외과학교실

Abstract

PURPOSE
This study examined the clinical results of the treatment of type 2 distal clavicle fracture with using a Wolter plate. MATERIALS AND METHODS: Between 2004 and 2007, 16 patient treated for type 2 distal clavicle fracture using a Wolter plate were included in this study. Their average age was 32.6 years and the postoperative mean follow-up period was 22.9 months. The reduction and union were qualified according to the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona's system and the Constant score RESULTS: By Kona's functional evaluation, there were 12 cases with excellent results, 3 cases with good results and 1 case of fair results and the average Constant score was 90. All 16 cases showed bony union. As complications, there was 1 case in which the protruded hook of the plate could be palpated at the skin, and 1 case showed an acromial fracture, but all the cases dispalyed successful bony union and there was no acromioclavicular joint arthritis, infection or any other complications.
CONCLUSION
Wolter plate fixation for type 2 distal clavicle fracture is a reliable surgical method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result

Key Words: Shoulder; Distal clavicle fracture; Wolter plate

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