쇄골 원위부 골절 치료시 해부학적 잠김 압박 금속판과 갈고리 금속판 고정의 비교

Abstract

Purpose: A variety of surgical treatment for distal clavicle fracture has been introduced but surgical procedure left possibility of controversy. So the author compared the treatment result with anatomical locking compression plate and hook plate. Materials and Methods: From January 2010 to January 2012, 20 patients, who were diagnosed as Neer type II distal clavicle fracture and underwent surgical treatment, were analysed retrospectively. All the patients were followed up for at least more than one year. Group I with anatomical locking compression plate (11 cases), and group II with hook plate (9 cases) were compared preoperatively and postoperatively. The last follow up on the union and position of the plate were evaluated by radiographic evaluation. Clinical outcomes was evaluated by the postoperative UCLA scoring system and Kona system. Results: At final follow up, both groups were able to get complete bone union. The clinical evaluation is better in group I, but it was not statistically significant. Subacromial impingement and subacromial erosion were observed in group II. Conclusion: In Neer type II distal clavicle fracture treatment, both groups showed satisfactory result in clinical and radiological outcomes, but the hook plate fixation caused subacromial impingement syndrome, subacromial erosion in some patients. The author recommend anatomical locking compression plate for the treatment of distal clavicle fractures.