Tension Band Wire Fixation for Comminuted Distal Clavicle Fracture

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Journal of the Korean Society for Surgery of the Hand 2004;9(4):245-249.
Published online December 1, 2004.

Ho-Jung Kang, Jae-Bong Chung, Seung-Yong Sung, Soo-Bong Hahn, Joong-Won Ha

쇄골 외측단 분쇄 골절의 긴장대 강선 고정술을 이용한 수술적 치료

강호정, 성승용, 정재봉, 한수봉, 하중원

Abstract

Purpose
The purpose of this retrospective study is to review clinical and radiologic results of K-wire fixation and tension band wiring to fix the fracture fragments in distal clavicle Neer type II or III fractures. Materials and Methods: From Jan. 1996 to Jan. 2002, eleven patients with distal clavicle Neer type II fracture and three patients with distal clavicle type III fracture were treated by open reduction and internal fixation with K-wires and tension band wiring. The clinical results were analyzed according to the functional criteria by Kona et al. Results: All fractures healed at 8.5 weeks in average. There were thirteen excellent and one good results. The most common complication was pin site protrusion, which did not affect the clinical results. Conclusion: K-wire fixation and tension band wire is an effective method of fixation for distal clavicle Neer type II or III fractures.

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