원위 쇄골 골절의 치료에서 Hook 금속판의 이용 = Treatment of Distal Clavicle Fracture Using Hook Plate

다국어 초록 (Multilingual Abstract)

Purpose: To evaluate the result of distal clavicle fracture treated by Hook plate (LCP clavicle hook plate, Synthes(R), Paoli, Switzerland). Materials and Methods: 10 patients with distal clavicle fracture treated by Hook plate from April 2008 to March 2010 were analyzed. The average follow-up period was 10 (range 4 to 26) months. The reduction was qualified and evaluated according to the immediate post-operative, final radiographs. We analyze the result by UCLA score and Kona`s functional evaluation. Results: By radiologic evaluation, all cases showed anatomical reduction and solid union. By Kona`s functional evaluation, there are 7 cases with excellent results, 3 cases with good results. The UCLA score was average 33.3 (range 29 to 35) points followed by 6 excellent cases, 4 good cases. As complication, 1 case showed post-operative clavicle shaft fracture and 1 case showed acromial osteolysis on X-rays. We found no complications such as skin irritation, infection, loosening of screws, and plate failure. Conclusion: The Hook plate fixation for distal clavicle fracture is considered effective method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result.

참고문헌 (Reference)

1 강호정, "불안정성 원위 쇄골 골절의 T형 금속판 고정" 대한골절학회 19 (19): 7-7, 2006

2 전재명, "변형 장력대 강선고정을 이용한 불안정성 원위부 쇄골 골절의 치료" 대한정형외과학회 37 (37): 17-420, 2002

3 Muramatsu K, "Use of the AO hook-plate for treatment of unstable fractures of the distal clavicle" 127 : 191-194, 2007

4 Kona J, "Type II distal clavicle fractures: a retrospective review of surgical treatment" 4 : 115-120, 1990

5 Goldberg JA, "Type 2 fractures of the distal clavicle: a new surgical technique" 6 : 380-382, 1997

6 Hessmann M, "Treatment of unstable distal clavicular fractures with and without lesions of the acromioclavicular joint" 27 : 47-52, 1996

7 Kao FC, "Treatment of distal clavicle fracture using Kirschner wires and tension-band wires" 51 : 522-525, 2001

8 Salem KH, "Treatment of Tossy III acromioclavicular joint injuries using hook plates and ligament suture" 23 : 565-569, 2009

9 Fann CY, "Transacromial knowles pin in the treatment of Neer type 2 distal clavicle fractures. A prospective evaluation of 32 cases" 56 : 1102-1105, 2004

10 Wang SJ, "Transacromial extra-articular Knowles pin fixation treatment of acute type V acromioclavicular joint injuries" 65 : 424-429, 2008

11 Faraj AA, "The use of a hook-plate in the management of acromioclavicular injuries. Report of ten cases" 67 : 448-451, 2001

12 Kiefer H, "The stabilizing effect of various implants on the torn acromioclavicular joint. A biomechanical study" 106 : 42-46, 1986

13 Nordqvist A, "The natural course of lateral clavicle fracture. 15 (11-21) year follow-up of 110 cases" 64 : 87-91, 1993

14 Flinkkilä T, "Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation" 73 : 50-53, 2002

15 Mall JW, "Surgical treatment of fractures of the distal clavicle with polydioxanone suture tension band wiring: an alternative osteosynthesis" 7 : 535-537, 2002

16 Mizue F, "Surgical treatment of comminuted fractures of the distal clavicle using Wolter clavicular plates" 67 : 32-34, 2000

17 Herrmann S, "Stabilisation of vertical unstable distal clavicular fractures (Neer 2b) using locking T-plates and suture anchors" 40 : 236-239, 2009

18 Yamaguchi H, "Results of the Bosworth method for unstable fractures of the distal clavicle" 22 : 366-368, 1998

19 Ellman H, "Repair of the rotator cuff. End-result study of factors influencing reconstruction" 68 : 1136-1144, 1986

20 Ernst S, "Repair of Complete Acromioclavicular Separations Using the Acromioclavicular-Hook Plate" 314 : 134-142, 1995

21 Eskola A, "Outcome of operative treatment in fresh lateral clavicular fracture" 76 : 167-169, 1987

22 Park JH, "Operative treatment of type II distal clavicle fractures" 11 : 683-689, 1998

23 Neer CS 2nd, "Nonunion of the clavicle" 1006-1011, 1960

24 Neer CS 2nd, "Nonunion of the clavicle" 172 : 1006-1011, 1960

25 염재광, "Neer 분류 제 2형 원위부 쇄골 골절의 mini-T형 금속판 고정" 대한견주관절학회 12 (12): 1-6, 2009

26 Regel JP, "Intraspinal migration of a Kirschner wire 3 months after clavicular fracture fixation" 25 : 110-112, 2002

27 Neviaser RJ, "Injuries to the clavicle and acromioclavicular joint" 18 : 433-438, 1987

28 Tambe AD, "Fractures of the distal third of the clavicle treated by hook plating" 30 : 7-10, 2006

29 Edwards DJ, "Fractures of the distal clavicle: a case for fixation" 23 : 44-46, 1992

30 Neer CS 2nd, "Fracture of the distal clavicle with detachment of the coracoclavicular ligaments in adults" 3 : 99-110, 1963

31 Craig EV, "Fracture of the clavicle, In Fractures in adults. 4th ed" Lippincott-Raven 1109-1161, 1996

32 Ballmer FT, "Coracoclavicular screw fixation for unstable fractures of the distal clavicle. A report of five cases" 73 : 291-294, 1991

33 Kim JS, "Coracoclavicular screw fixation for AC dislocation and unstable distal clavicle fracture" 2 : 133-137, 1999

34 Macdonald PB, "Acromioclavicular and sternoclavicular joint injuries" 39 : 535-545, 2008