Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw

Cem Esenyel; Hasan Ceylan; Semih Ayanoglu; Alper Kebudi; Oktay Adanır; Murat Bulbul

Research Article

Tip 2 distal klavikula kırıklarının korakoklaviküler vida ile tedavisi

Year 2011, Volume: 45 Issue: 5, 291 - 296, 28.10.2011

Cem Esenyel Hasan Ceylan Semih Ayanoglu Alper Kebudi Oktay Adanır Murat Bulbul

Abstract

Amaç: Çalışmamızın amacı deplase distal klavikula kırıklarının korakoklaviküler vida ile tespitiyle yapılan tedavi sonuçlarının değerlendirilmesi idi.
Çalışma planı: Tip 2 deplase distal klavikula kırığı olan 16 hasta açık redüksiyon ve internal fiksasyonla tedavi edildi. Fiksasyon korakoklaviküler vida uygulaması yoluyla yapıldı. Kaynamayı takiben vidalar lokal anestezi altında çıkarıldı. Tüm hastalar radyolojik olarak takip edildi. Klinik sonuçlar Constant skoru ile değerlendirildi.
Bulgular: Tüm hastalarda ağrısız kırık kaynaması oluştu. Yalnız bir hastada, cerrahiden bir ay sonra, vidanın sıyrılmasına bağlı redüksiyon kaybı gözlendi. Vidanın çıkarıldığı bu hastada da hafif deformite ile kaynama gerçekleşti. Hastaların tamamı 3 ay içinde travma öncesi duruma geldi. Ortalama Constant skoru 98 idi.
Çıkarımlar: Distal klavikula kırıklarının tedavisinde korakoklaviküler vida uygulama yöntemi güvenilir, basit ve düşük maliyetli bir tekniktir.

Keywords

Distal klavikula kırığı; kırık; klavikula; korakoklaviküler vida.

Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw

Year 2011, Volume: 45 Issue: 5, 291 - 296, 28.10.2011

Cem Esenyel Hasan Ceylan Semih Ayanoglu Alper Kebudi Oktay Adanır Murat Bulbul

Abstract

Objective: The aim of this study was to assess the outcome of coracoclavicular screw fixation in displaced distal clavicular fractures.
Methods: Sixteen patients with Neer Type 2 displaced distal clavicle fractures were treated with open reduction and internal fixation. Fixation was performed using a coracoclavicular screw with washer application. After union the screw was removed under local anesthesia. Radiographic evaluation was performed and the clinical outcome was assessed using the Constant score.
Results: All patients achieved painless osseous unions. However, one patient showed significant displacement of the fracture due to loosening of the screw one month after surgery. The screw was removed and the fracture was healed with some deformity. All patients returned to their preinjury level in 3 months. The mean Constant score was 98.
Conclusion: Coracoclavicular screw fixation in the treatment of distal clavicular fractures is a reliable, simple and cost effective technique.

Keywords

Clavicle, coracoclavicular screw, fracture, fractures of the distal clavicle

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Details

Primary Language	English
Subjects	Health Care Administration
Journal Section	Original Article
Authors	Cem Esenyel This is me Hasan Ceylan This is me Semih Ayanoglu This is me Alper Kebudi This is me Oktay Adanır This is me Murat Bulbul This is me
Publication Date	October 28, 2011
Published in Issue	Year 2011 Volume: 45 Issue: 5

Cite

APA	Esenyel, C., Ceylan, H., Ayanoglu, S., Kebudi, A., et al. (2011). Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw. Acta Orthopaedica Et Traumatologica Turcica, 45(5), 291-296.
AMA	Esenyel C, Ceylan H, Ayanoglu S, Kebudi A, Adanır O, Bulbul M. Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw. Acta Orthopaedica et Traumatologica Turcica. October 2011;45(5):291-296.
Chicago	Esenyel, Cem, Hasan Ceylan, Semih Ayanoglu, Alper Kebudi, Oktay Adanır, and Murat Bulbul. “Treatment of Neer Type 2 Fractures of the Distal Clavicle With Coracoclavicular Screw”. Acta Orthopaedica Et Traumatologica Turcica 45, no. 5 (October 2011): 291-96.
EndNote	Esenyel C, Ceylan H, Ayanoglu S, Kebudi A, Adanır O, Bulbul M (October 1, 2011) Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw. Acta Orthopaedica et Traumatologica Turcica 45 5 291–296.
IEEE	C. Esenyel, H. Ceylan, S. Ayanoglu, A. Kebudi, O. Adanır, and M. Bulbul, “Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw”, Acta Orthopaedica et Traumatologica Turcica, vol. 45, no. 5, pp. 291–296, 2011.
ISNAD	Esenyel, Cem et al. “Treatment of Neer Type 2 Fractures of the Distal Clavicle With Coracoclavicular Screw”. Acta Orthopaedica et Traumatologica Turcica 45/5 (October 2011), 291-296.
JAMA	Esenyel C, Ceylan H, Ayanoglu S, Kebudi A, Adanır O, Bulbul M. Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw. Acta Orthopaedica et Traumatologica Turcica. 2011;45:291–296.
MLA	Esenyel, Cem et al. “Treatment of Neer Type 2 Fractures of the Distal Clavicle With Coracoclavicular Screw”. Acta Orthopaedica Et Traumatologica Turcica, vol. 45, no. 5, 2011, pp. 291-6.
Vancouver	Esenyel C, Ceylan H, Ayanoglu S, Kebudi A, Adanır O, Bulbul M. Treatment of Neer Type 2 fractures of the distal clavicle with coracoclavicular screw. Acta Orthopaedica et Traumatologica Turcica. 2011;45(5):291-6.