EVALUATION OF THE TREATMENT OUTCOMES OF CLOSED DISTAL CLAVICLE FRACTURES USING THE HOOK PLATE FIXATION METHOD
Main Article Content
Abstract
Background: Distal clavicle fractures are a clinical injury of the shoulder region with various treatment methods, they account for about 15-30% of all clavicle fractures, but the nonunion rate is high, approximately 30-45% with conservative treatment, leaving many persistent sequelae for patients. To address this issue, surgical fixation of distal clavicle fractures using a hook plate has been chosen by many surgeons. Objectives: To survey the clinical, paraclinical characteristics, and treatment outcomes of patients with closed distal clavicle fractures treated with hook plate method. Materials and methods: We conducted a cross-sectional descriptive study on 34 patients aged 16 and above with outer clavicle fractures treated with hook plate fixation surgery. Postoperative functional recovery was evaluated using the Constant score, with follow-up ranging from first to sixth months. Results: The average age of the patients participating in the study was 42.26 years. The primary cause of fractures was traffic accidents, accounting for 82.35%. All patients' surgical wounds healed well after 1 month of follow-up. After 3 months, 88.24% of patients showed bone union, reaching 97.06% bone union after 6 months. Regarding shoulder joint function, the Constant-Murley score reached 84.41 points after 3 months and 97.94 points after 6 months. Conclusion: Treatment of closed distal clavicle fracture using hook plate fixation surgery yields good results in terms of anatomical restoration and bone healing, with patients experiencing early recovery of shoulder joint function. This indicates that the hook plate is an appropriate for treating distal clavicle fractures.
Keywords
Distal clavicle fracture, surgical fixation, hook plate
Article Details
References
2. Kim D.W., Kim D.H., Kim B.S., and Cho C.H. Current concepts for classification and treatment of distal clavicle fractures. Clinics in orthopedic surgery. 2020. 12(2), 135, DOI: 10.4055/cios20010.
3. Wang H.K., Liang L.S., He R.G., Su Y.B., Mao P., et al. Comparative analysis of locking plates versus hook plates in the treatment of Neer type II distal clavicle fractures. Journal of International Medical Research. 2020. 48(4), DOI: 10.1177/0300060520918060.
4. Nguyễn Văn Bình, Nguyễn Thông Phán, Đỗ Mạnh Hiếu. Đánh giá kết quả điều trị gãy đầu ngoài xương đòn bằng kết hợp xương nẹp móc tại Bệnh viện Quân y 175. Tạp chí Y học dược thực hành. 2015. 175(4), 28-36.
5. Soh C.J., Sivapathasundaram N., Parthiban R., and Ramanand A. A technique of distal clavicle fracture fixation using the Tightrope procedure. Malaysian Orthopaedic Journal. 2011. 5(3), 20, DOI: 10.5704/MOJ/1111.002.
6. Nguyễn Mộng Tuyền. Nghiên cứu đặc điểm lâm sàng, hình ảnh X-quang và đánh giá kết quả điều trị gãy kín 1/3 ngoài xương đòn bằng phương pháp nẹp vít tại Bệnh viện Quân y 120, năm 2018-2019. Đại học Y Dược Cần Thơ. 2019. 1-75.
7. Good D.W., Lui D.F., Leonard M., Morris S., and McElwain J.P. Clavicle hook plate fixation for displaced lateral-third clavicle fractures (Neer type II): a functional outcome study. Journal of shoulder and elbow surgery. 2012. 21(8), 1045-1048, DOI: 10.1016/j.jse.2011.07.020.
8. Kashii M., Inui H. and Yamamoto K. Surgical treatment of distal clavicle fractures using the clavicular hook plate. Clinical Orthopaedics and Related Research (1976-2007). 2006. 447, 158-164, DOI: 10.1097/01.blo.0000203469.66055.6a.
9. Wu S, Chen J, Zhang J, Shakya S, Xing F, et al. Hook plate fixation with versus without coracoclavicular reconstruction for distal clavicular fractures. Journal of Orthopaedic Surgery. 2022. 30(1), 10225536221088630, DOI: 10.1177/10225536221088630.
10. Tiren D, van Bemmel AJ, Swank DJ, van der Linden FM. Hook plate fixation of acute displaced lateral clavicle fractures: mid-term results and a brief literature overview. Journal of orthopaedic surgery and research. 2012. 7, 1-8, DOI: 10.1186/1749-799X-7-2.