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Coracoclavicular stabilization using a suture button device for Neer type IIB lateral clavicle fractures

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Author(s)
Chul-Hyun ChoJae-Hoon JungBeom-Soo Kim ,
Keimyung Author(s)
Cho, Chul Hyun
Department
Dept. of Orthopedic Surgery (정형외과학)
Journal Title
Journal of Shoulder and Elbow Surgery
Issued Date
2017
Volume
26
Issue
5
Keyword
Lateral claviclefracturecoracoclavicular stabilizationradiologic outcomesclinical outcomessuture buttonTightRope
Abstract
Background: The purpose of this study was to evaluate the radiologic and clinical outcomes of coracoclavicular
(CC) stabilization using a suture button device for Neer type IIB lateral clavicle fractures.
Methods: Eighteen consecutive patients with Neer type IIB fractures were treated with CC stabilization
using a TightRope device (Arthrex, Naples, FL, USA). The mean follow-up period was 46.6 months (range,
24-75 months). Radiologic outcomes were assessed using serial plain radiographs. Clinical outcomes were
evaluated using the visual analog scale pain score; University of California, Los Angeles score; American
Shoulder and Elbow Surgeons score; and subjective shoulder value. Intraoperative and postoperative
complications were also evaluated.
Results: Of the 18 cases, 17 (94.4%) showed complete bony union. The mean final visual analog scale
pain score was 1.1; University of California, Los Angeles score, 31.3; American Shoulder and Elbow Surgeons
score, 88.6; and subjective shoulder value, 88.5%. Four complications were observed: (1) intraoperative
coracoid process fracture, (2) nonunion, (3) delayed union, and (4) shoulder stiffness. The case with a
coracoid process fracture during coracoid tunnel generation was converted to the K-wire tension band
technique.
Conclusion: CC stabilization using a suture button device for Neer type IIB lateral clavicle fractures yielded
satisfactory radiologic and clinical outcomes. The major advantage of this technique is that implant removal
is not required.
Level of evidence: Level IV; Case Series; Treatment Study
Keimyung Author(s)(Kor)
조철현
Publisher
School of Medicine
Citation
Chul-Hyun Cho et al. (2017). Coracoclavicular stabilization using a suture button device for Neer type IIB lateral clavicle fractures. Journal of Shoulder and Elbow Surgery, 26(5), 804–808. doi: 10.1016/j.jse.2016.09.048
Type
Article
ISSN
1058-2746
Source
https://linkinghub.elsevier.com/retrieve/pii/S1058-2746(16)30489-X
DOI
10.1016/j.jse.2016.09.048
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/32808
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학)
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