Clinical and radiological results on the clavicle fractures with a hook plate Şxation of Neer type 2 distal

Abstract

Objective: The aim of this study was to analyze the clinical and functional results of hook plateŞxation inNeer type 2 distal clavicle fractures.Methods: We retrospectively analyzed 16 patients (11 males, 5 females) who were diagnosed with Neertype 2 distal clavicle fractures and treated with hook plateŞxation between 2013 and 2014. Mean agewas 38 (range: 27e61), and mean follow-up time was 14.3 (range: 12e18) months. Complications seenon radiographs were implant failure and subacromial osteolysis. The clinical results were evaluated withmodiŞed UCLA (University of California Los Angeles) scoring system.Results: Bone union was achieved in all patients at the end of theŞrst 4 months. Mean modiŞed UCLAscore was 32.75 (range 31e35). In 12 patients (68%), the implants had to be removed due to complications. After removal, the complaints regressed and shoulders' range of motion increased.Conclusion: Clinical and radiological results on theŞxation of Neer type 2 distal clavicle fractures with ahook plate are good in terms of fracture union and function. The major disadvantage of the method wasthe requirement of early implant removal due to the hardware related complications and good resultscan be achieved only after plate removal. Optimizing the length of hook plate may lower the rate ofcomplications.Level of evidence: Level IV, Therapeutic study.© 2016 Turkish Association of Orthopaedics and Traumatology. Publishing services by Elsevier B.V. This isan open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).