Minimal incision Wolter Plate Fixation on the Displaced Lateral End Fracture of the Clavicle and the Acromioclavicular Dislocation

doi:2002.5.1.23

Clin Shoulder Elb > Volume 5(1); 2002 > Article

Journal of the Korean Shoulder and Elbow Society 2002;5(1):23-28.
DOI: https://doi.org/10.5397/CiSE.2002.5.1.023 Published online June 30, 2002.

Minimal incision Wolter Plate Fixation on the Displaced Lateral End Fracture of the Clavicle and the Acromioclavicular Dislocation

Sang Hun Ko, M.D., Ph.D.

Department of Orthopaedic Surgery, Bundang Jaesaeng Hospital, Daejin Medical Center, Kyungkido, Korea

견봉쇄골탈구와 원위쇄골골절에서 소절개를 이용한 Wolter금속판 내고정술

고상훈

대진의료재단 분당제생병원 정형외과

Abstract

Purpose
: Displaced lateral end fracture of clavicle and acromioclavicular dislocation type III~VI may be required surgical treatment. Material and Methods : From May 1998 to March 2001, we operated with Wolter plate with minimal incision by one surgeon. Immediately, pendulum and passive exercise was initiated after surgery. The shoulder function was evaluated using UCLA score. Average follow up was on 28(12~45) months. Results : All 11 patients were regained satisfactory function. Average UCLA score was 31.9(29~35) at last follow up. Conclusion : The merit of Wolter plate fixation with minimal incision is simple technique, reduced surgical time, smaller scar than large plate, strong fixation, early exercise, reduced implant failure. The disadvantage is expensive, skin irritatatation by long hook. But Wolter plate fixation with minimal incision is a good method of internal fixation and excellent clinical result in surgical treatment of type II displaced lateral end fracture of the clavicle and type III~VI acromioclavicular dislocation.

Key Words: Displaced lateral end fracture of clavicle, Acromioclavicular dislocation, Wolter plate