Journal of Musculoskeletal Trauma

Original Article

Coracoclavicular Screw Fixation and Tension Band Wiring in Treatment of Distal Clavicle Fracture: Dae Gyu Kwon, Tong Joo Lee, Kyung Ho Moon, Byoung Ki Shin, Min Su Woo; J Korean Fract Soc 2013;26(1):1-7. Published online January 31, 2013; DOI: https://doi.org/10.12671/jkfs.2013.26.1.1

Abstract PDF: PURPOSE
The purpose of this study was to analyze the effectiveness of coracoclavicular screw fixation with tension band wiring in the treatment of displaced distal clavicle fractures.
MATERIALS AND METHODS
From October 2006 to December 2010, 18 patients with Neer type 2 displaced distal clavicle fracture were surgically treated. Fixation was performed, using coracoclavicular screw with tension band wiring. Radiographic and clinical evaluation was performed and the University of California at Los Angeles (UCLA) shoulder rating scale was employed for the assessment of shoulder joint function.
RESULTS
Osseous union was achieved approximately 9.5 weeks (8-11 weeks) in all patients. After the union, the screw and wire were removed under local anesthesia. All patients returned to the normal shoulder range of motion. Loosening of the screw was seen in two patients and breakage was seen in one patient. However, we could not observe the delayed union and complications, such as infection and refracture. All but one patient showed excellent results according to the UCLA shoulder score at one year after the operation.
CONCLUSION
Coracoclavicular screw fixation with tension band wiring in the treatment of displaced distal clavicle fractures is a clinically useful technique with good result and less complication.

Case Report

Osteochondral Autograft Using Head of Proximal Phalanx of Toe for Partial Osteochondral Defect of Proximal Interphalangeal Joint: A Case Report: Tong Joo Lee, Kyung Ho Moon, Yoon Sang Jeon, Do Seung Kwon; J Korean Fract Soc 2010;23(3):321-325. Published online July 31, 2010; DOI: https://doi.org/10.12671/jkfs.2010.23.3.321

Abstract PDF: Osteochondral injury due to the trauma of the hand is relatively common. If the size of the osteochondral fracture fragment is large, open reduction and internal fixation are often feasible in treating these problems. However, arthroplasty using osteochondral graft is more preferred when the particle is small and articular surface is comminuted or fully defected. There are many reports of osteochondral graft using the costal osteochondral graft but the osteochondral graft using the interphalangeal joint of the toe is rarely reported. Thoroughly reviewed with relevant articles, this report presents a case of a 33 year old male who was successfully treated with osteochondral autograft using the proximal interphalangeal joint of the toe due to the traumatic osteochondral defect in the head of the second proximal phalanx.

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