Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption

Chih Hwa Chen, Wen Jer Chen, Chun Hsiung Shih

Research output: Contribution to journalArticle

45 Citations (Scopus)

Abstract

Background: Surgical reconstruction is usually indicated for distal clavicle fractures with coracoclavicular ligament disruption due to a high rate of nonunion and delayed union. We report the outcome of a surgical technique for this type of fracture. Methods: The procedures consist of coracoclavicular reconstruction with a Mersilene tape, repair of torn coracoclavicular ligament, and wire fixation of the fracture fragments. From 1993 through 1998, this technique has been used on 13 patients with distal clavicle fracture and associated coracoclavicular ligament disruption. Eleven patients with at least 18 months of complete postoperative follow-up were included for functional and radiographic evaluation. Results: After 18 to 48 months' follow-up, the clinical outcome has been encouraging. Solid union of the fracture could be achieved at 3 months after operation in 10 patients. The remaining one fracture achieved bony union at 6 months. Ten patients could return to the same or a higher level of preinjury activity. Good and excellent results were obtained in 10 patients. Conclusion: The advantages of this technique include that the disrupted coracoclavicular articulation is rigidly restored and then the fracture site can be easily reduced and fixed with a wire. This technique allows for stable fixation with early mobilization and early return to work and sports.

Original languageEnglish
Pages (from-to)72-78
Number of pages7
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume52
Issue number1
Publication statusPublished - 2002
Externally publishedYes

Fingerprint

Clavicle
Ligaments
Therapeutics
Early Ambulation
Fracture Fixation
Return to Work

Keywords

  • Coracoclavicular ligament
  • Distal clavicle fracture

ASJC Scopus subject areas

  • Surgery

Cite this

Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption. / Chen, Chih Hwa; Chen, Wen Jer; Shih, Chun Hsiung.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 52, No. 1, 2002, p. 72-78.

Research output: Contribution to journalArticle

@article{3553670d1f074db1907066db64b1f35b,
title = "Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption",
abstract = "Background: Surgical reconstruction is usually indicated for distal clavicle fractures with coracoclavicular ligament disruption due to a high rate of nonunion and delayed union. We report the outcome of a surgical technique for this type of fracture. Methods: The procedures consist of coracoclavicular reconstruction with a Mersilene tape, repair of torn coracoclavicular ligament, and wire fixation of the fracture fragments. From 1993 through 1998, this technique has been used on 13 patients with distal clavicle fracture and associated coracoclavicular ligament disruption. Eleven patients with at least 18 months of complete postoperative follow-up were included for functional and radiographic evaluation. Results: After 18 to 48 months' follow-up, the clinical outcome has been encouraging. Solid union of the fracture could be achieved at 3 months after operation in 10 patients. The remaining one fracture achieved bony union at 6 months. Ten patients could return to the same or a higher level of preinjury activity. Good and excellent results were obtained in 10 patients. Conclusion: The advantages of this technique include that the disrupted coracoclavicular articulation is rigidly restored and then the fracture site can be easily reduced and fixed with a wire. This technique allows for stable fixation with early mobilization and early return to work and sports.",
keywords = "Coracoclavicular ligament, Distal clavicle fracture",
author = "Chen, {Chih Hwa} and Chen, {Wen Jer} and Shih, {Chun Hsiung}",
year = "2002",
language = "English",
volume = "52",
pages = "72--78",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption

AU - Chen, Chih Hwa

AU - Chen, Wen Jer

AU - Shih, Chun Hsiung

PY - 2002

Y1 - 2002

N2 - Background: Surgical reconstruction is usually indicated for distal clavicle fractures with coracoclavicular ligament disruption due to a high rate of nonunion and delayed union. We report the outcome of a surgical technique for this type of fracture. Methods: The procedures consist of coracoclavicular reconstruction with a Mersilene tape, repair of torn coracoclavicular ligament, and wire fixation of the fracture fragments. From 1993 through 1998, this technique has been used on 13 patients with distal clavicle fracture and associated coracoclavicular ligament disruption. Eleven patients with at least 18 months of complete postoperative follow-up were included for functional and radiographic evaluation. Results: After 18 to 48 months' follow-up, the clinical outcome has been encouraging. Solid union of the fracture could be achieved at 3 months after operation in 10 patients. The remaining one fracture achieved bony union at 6 months. Ten patients could return to the same or a higher level of preinjury activity. Good and excellent results were obtained in 10 patients. Conclusion: The advantages of this technique include that the disrupted coracoclavicular articulation is rigidly restored and then the fracture site can be easily reduced and fixed with a wire. This technique allows for stable fixation with early mobilization and early return to work and sports.

AB - Background: Surgical reconstruction is usually indicated for distal clavicle fractures with coracoclavicular ligament disruption due to a high rate of nonunion and delayed union. We report the outcome of a surgical technique for this type of fracture. Methods: The procedures consist of coracoclavicular reconstruction with a Mersilene tape, repair of torn coracoclavicular ligament, and wire fixation of the fracture fragments. From 1993 through 1998, this technique has been used on 13 patients with distal clavicle fracture and associated coracoclavicular ligament disruption. Eleven patients with at least 18 months of complete postoperative follow-up were included for functional and radiographic evaluation. Results: After 18 to 48 months' follow-up, the clinical outcome has been encouraging. Solid union of the fracture could be achieved at 3 months after operation in 10 patients. The remaining one fracture achieved bony union at 6 months. Ten patients could return to the same or a higher level of preinjury activity. Good and excellent results were obtained in 10 patients. Conclusion: The advantages of this technique include that the disrupted coracoclavicular articulation is rigidly restored and then the fracture site can be easily reduced and fixed with a wire. This technique allows for stable fixation with early mobilization and early return to work and sports.

KW - Coracoclavicular ligament

KW - Distal clavicle fracture

UR - http://www.scopus.com/inward/record.url?scp=0036151328&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0036151328&partnerID=8YFLogxK

M3 - Article

VL - 52

SP - 72

EP - 78

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 1

ER -