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HOME > J Musculoskelet Trauma > Volume 24(1); 2011 > Article
Original Article
Treatment of Distal Clavicle Fracture Using Hook Plate
Su-Han Ahn, M.D., Hyeong-Jo Yoon, M.D., Kwang-Yeol Kim, M.D., Hyung-Chun Kim, M.D., In-Yeol Kim, M.D.
Journal of the Korean Fracture Society 2011;24(1):48-54.
DOI: https://doi.org/10.12671/jkfs.2011.24.1.48
Published online: January 19, 2011

Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, Busan, Korea.

Address reprint requests to: Hyeong-Jo Yoon, M.D. Department of Orthopedic Surgery, Wallace Memorial Baptist Hospital, 374-75, Namsan-dong, Geumjung-gu, Busan 609-728, Korea. Tel: 82-51-580-1422·Fax: 82-51-583-2568, paskal1023@hanmail.net
• Received: July 15, 2010   • Revised: August 14, 2010   • Accepted: October 26, 2010

Copyright © 2011 The Korean Fracture Society

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  • Purpose
    To evaluate the result of distal clavicle fracture treated by Hook plate (LCP clavicle hook plate, Synthes®, 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.
  • Key words: Clavicle, Distal clavicle fracture, Hook plate
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Fig. 1
(A) Preoperative radiograph of the left shoulder of a 55 year old male shows distal clavicle fracture.
(B) This is postoperative radiograph with Hook plate fixation.
(C) At 4 months follow-up, implant is removed without any complication. Bony union is achieved.
jkfs-24-48-g001.jpg
Fig. 2
(A) Preoperative radiograph of the left shoulder of a 80 year old female shows distal clavicle fracture.
(B) This is postoperative radiograph with Hook plate fixation.
(C) At 1 months follow-up, radiograph shows clavicle shaft fracture.
(D) At 6 months follow-up, the union of fracture site was found.
jkfs-24-48-g002.jpg
Fig. 3
(A) Preoperative radiograph of the left shoulder of a 49 year old male shows distal clavicle fracture.
(B) This is postoperative radiograph with Hook plate fixation.
(C) At 4 months follow-up, postoperative radiograph shows osteolysis of acromion by the hook of plate.
jkfs-24-48-g003.jpg
Table 1
Ucla end-result scores
jkfs-24-48-i001.jpg
Table 2
Classification of functional result by Kona
jkfs-24-48-i002.jpg
Table 3
Summary of cases
jkfs-24-48-i003.jpg

Figure & Data

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    • Comparison of Locking Compression Plate Superior Anterior Clavicle Plate with Suture Augmentation and Hook Plate for Treatment of Distal Clavicle Fractures
      Jun-Cheol Choi, Woo-Suk Song, Woo-Sung Kim, Jeong-Muk Kim, Chan-Woong Byun
      Archives of Hand and Microsurgery.2017; 22(4): 247.     CrossRef

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      Treatment of Distal Clavicle Fracture Using Hook Plate
      J Korean Fract Soc. 2011;24(1):48-54.   Published online January 31, 2011
      DOI: https://doi.org/10.12671/jkfs.2011.24.1.48
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    Treatment of Distal Clavicle Fracture Using Hook Plate
    Image Image Image
    Fig. 1 (A) Preoperative radiograph of the left shoulder of a 55 year old male shows distal clavicle fracture. (B) This is postoperative radiograph with Hook plate fixation. (C) At 4 months follow-up, implant is removed without any complication. Bony union is achieved.
    Fig. 2 (A) Preoperative radiograph of the left shoulder of a 80 year old female shows distal clavicle fracture. (B) This is postoperative radiograph with Hook plate fixation. (C) At 1 months follow-up, radiograph shows clavicle shaft fracture. (D) At 6 months follow-up, the union of fracture site was found.
    Fig. 3 (A) Preoperative radiograph of the left shoulder of a 49 year old male shows distal clavicle fracture. (B) This is postoperative radiograph with Hook plate fixation. (C) At 4 months follow-up, postoperative radiograph shows osteolysis of acromion by the hook of plate.

    Fig. 1

    Fig. 2

    Fig. 3

    Treatment of Distal Clavicle Fracture Using Hook Plate

    Ucla end-result scores

    Classification of functional result by Kona

    Summary of cases
    Table 1 Ucla end-result scores

    Table 2 Classification of functional result by Kona

    Table 3 Summary of cases

    Table 1

    Table 2

    Table 3

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