Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_

Poster
Topic: Trauma - Shoulder
Abstract number: 25901
TREATMENT OF TYPE II DISTAL CLAVICLE FRACTURE USING WOLTER
PLATE
YOON-SUK HYUN
Kang-Dong sacred heart hospital, SOUTH KOREA, SEOUL (KOREA)
This study examined the clinical results of the treatment of type II distal clavicle
fracture using Wolter plate. Between 2004 and 2007, 36 patient treated type 2 distal
clavicle fracture using Wolter plate were included in this study. Their average age
was 32.6 years and postoperative mean follow-up period was 22.9 months. The
reduction and union were qualified with immediate post-operative and final
radiographs. The functional outcome was evaluated by Kona's system and Constant
score. By Kona's functional evaluation, there were 22 cases of excellent, 12 cases of
good and 2 case of fair and the average Constant score was 90. All of 36 cases
showed bony union. As complications, there was 2 case in which the protruded hook
of plate could be palpated at skin, and 1 case was acromial fracture, but all case was
seen successful bony union and there was no acromioclavicular joint arthritis,
infections and any other complications. Wolter plate fixation for type II distal clavicle
fracture is a reliable surgical method for satisfactory reduction and rigid fixation, lower
incidence of nonunion and excellent clinical result.
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