Suture button placed beneath plate fixation for complex distal clavicle fractures and acromioclavicular joint injuries: a technical note.
Eur J Orthop Surg Traumatol
; 33(7): 3175-3180, 2023 Oct.
Article
em En
| MEDLINE
| ID: mdl-36995390
ABSTRACT
Patients with complex distal clavicle and acromioclavicular (AC) joint injuries are at risk of loss of reduction, especially when plates are removed postoperatively. The purpose is to review the authors' preferred technique for treatment of distal clavicle and AC joint injuries utilizing combined suture button and plate fixation, aiming to optimize biomechanical strength of fixation and limit loss of reduction after implant removal. Pre-contoured locking plates or hook plates were utilized atop suture buttons to maintain reduction and optimize biomechanical strength. At final follow-up over one year after plate removal and suture button retention in thirteen patients, reduction was maintained to coracoclavicular interval 1.5 ± 1.4 mm less than contralaterally. DASH scores at final follow-up averaged 5.7 ± 2.5 (range 3.3 - 11.7). Placing suture button fixation prior to and beneath plate fixation in complex AC joint injuries and distal clavicle fractures allows for maintained fixation and prevents loss of reduction after plate removal.
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Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Articulação Acromioclavicular
/
Fraturas Ósseas
Limite:
Humans
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article