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Fig. 1

(A~C) Oblique T Locking Compression Plate is appropriate for fixation of clavicle lateral end fracture.

Fig. 2

Intraoperative photographs.

(A) Patient was placed Beach chair position.

(B) The direct approach with Langer's line was used for exposure.

(C) Acromio-clavicular joint was marked with a needle (circle).

(D) The Needle of acromio-clavicular joint was seen on fluoroscopic view (circle).

(E, F) The Needle makes plate positioning easy. Plate was fixed with screws.

(G, H) After screw fixation, unstable fragment that coraco-clavicular ligament was attached was coiled with absorbable suture material through coraco-clavicular ligament.

Fig. 3

A 47-year-old man sustained a clavicle lateral end fracture by a traffic accident.

(A, B) Preoperative radiographs show Neer type II, Craig type V unstable clavicle lateral end fracture.

(C, D) Satisfactory reduction and fixation was seen on postoperative radiographs.

(E, F) Radiographs 4 weeks after operation show bone absorption.

(G, H) Final radiographs 57 weeks after operation show solid union without implant loosening and loss of reduction.

Fig. 4

A 39-year-old man sustained a clavicle lateral end fracture by a traffic accident.

(A~C) Reconstructed three-dimensional CT scans show a comminuted, unstable fracture of clavicle lateral end.

(D, E) Preoperative radiographs show Neer type II, Craig type V clavicle lateral end fracture

(F, G) Final radiographs 2 years after operation show solid union without implant loosening and loss of reduction.

(H~L) The photographs show a good functional result with full forward flexion and internal and external rotation of shoulders at final follow-up (postoperative 2 years).

Table 1

Patient demographics

M: Male, F: Female, TA: Traffic accident, SD: Slip down, FD: Fall down.

Figure & Data

REFERENCES

Citations

Citations to this article as recorded by  

• Results of Hook Plate Fixation of Unstable Distal Clavicle Fractures
  Hoon-Sang Sohn, Byung Chul Jo
  Journal of the Korean Fracture Society.2011; 24(4): 335.     CrossRef