Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_
Abstracts Posters SICOT-SOF meeting Gothenburg 2010 _2_ 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. 582
Poster Topic: Trauma - Shoulder Abstract number: 25906 MINIMALLY INVASIVE FIXATION OF DISPLACED MIDCLAVICULAR FRACTURES WITH TITANIUM ELASTIC NAILS sung-hsiung CHIEN Kaohsiung medical university, Kaohsiung (TAIWAN) Clavicular fractures account for 2.6% of all fractures, and more than 80% involve the middle-third of the clavicle. Plate fixation of the displaced midclavicular fractures has been associated with complications such as infection, wound breakdown, nonunion, implant failures, poor cosmetic outcome, and local skin numbness. Herein, we report on a series of cases receiving minimally invasive insertion of a titanium elastic nails (TEN) to fix the displaced midclavicular fractures. From November 2006 to October 2007, we operated on 24 patients (16 men) with displaced midclavicular fractures which we fixed with TEN. The mean age of the patients was 41.57 years. The nails were inserted from the medial entry point on sternal end and passed through the fracture site under fluoroscopy monitoring. Close reduction were successful in 16 patients, and 8 patients needed open reduction. The mean operative wound length was 2.2 cm. There was no nonunion, infection, nail breakage or refracture after nail removal in our series. The mean length shortening was 0.32 cm. Iatrogenic perforation of the lateral cortex occurred in 2 patients, and nail misplacement occurred in 1 patient requiring revision. The mean DASH score was 6 (0 to 35; SD= 10.47) and mean Constant score was 96 (78 to 100; SD=6.34). In conclusion, minimally invasive fixation with TEN is a safe method and can be performed with minor complications. It results in good cosmetic appearance and very satisfactory stabilization of displaced midclavicular fractures. 583
- Page 531 and 532: Poster Topic: Trauma - Femur Abstra
- Page 533 and 534: Poster Topic: Trauma - Forearm Abst
- Page 535 and 536: Poster Topic: Trauma - Hand/Wrist A
- Page 537 and 538: Poster Topic: Trauma - Hand/Wrist A
- Page 539 and 540: Poster Topic: Trauma - Hand/Wrist A
- Page 541 and 542: Poster Topic: Trauma - Hand/Wrist A
- Page 543 and 544: Poster Topic: Trauma - Hand/Wrist A
- Page 545 and 546: Poster Topic: Trauma - Hand/Wrist A
- Page 547 and 548: Poster Topic: Trauma - Hand/Wrist A
- Page 549 and 550: Poster Topic: Trauma - Hand/Wrist A
- Page 551 and 552: Poster Topic: Trauma - Hand/Wrist A
- Page 553 and 554: Poster Topic: Trauma - Hip Abstract
- Page 555 and 556: Poster Topic: Trauma - Hip Abstract
- Page 557 and 558: Poster Topic: Trauma - Hip Abstract
- Page 559 and 560: Poster Topic: Trauma - Hip Abstract
- Page 561 and 562: Poster Topic: Trauma - Hip Abstract
- Page 563 and 564: Poster Topic: Trauma - Hip Abstract
- Page 565 and 566: Poster Topic: Trauma - Hip Abstract
- Page 567 and 568: Poster Topic: Trauma - Hip Abstract
- Page 569 and 570: Poster Topic: Trauma - Hip Abstract
- Page 571 and 572: Poster Topic: Trauma - Hip Abstract
- Page 573 and 574: Poster Topic: Trauma - Hip Abstract
- Page 575 and 576: Poster Topic: Trauma - Knee Abstrac
- Page 577 and 578: Poster Topic: Trauma - Knee Abstrac
- Page 579 and 580: Poster Topic: Trauma - Knee Abstrac
- Page 581: Poster Topic: Trauma - Shoulder Abs
- Page 585 and 586: Poster Topic: Trauma - Shoulder Abs
- Page 587 and 588: Poster Topic: Trauma - Shoulder Abs
- Page 589 and 590: Poster Topic: Trauma - Spine Abstra
- Page 591 and 592: Poster Topic: Trauma - Spine Abstra
- Page 593 and 594: Poster Topic: Trauma - Systemic Abs
- Page 595 and 596: Poster Topic: Trauma - Systemic Abs
- Page 597 and 598: Poster Topic: Trauma - Systemic Abs
- Page 599 and 600: Poster Topic: Trauma - Systemic Abs
- Page 601 and 602: Poster Topic: Trauma - Systemic Abs
- Page 603 and 604: Poster Topic: Trauma - Systemic Abs
- Page 605 and 606: Poster Topic: Trauma - Tibia/Fibula
- Page 607 and 608: Poster Topic: Trauma - Tibia/Fibula
- Page 609 and 610: Poster Topic: Trauma - Tibia/Fibula
- Page 611 and 612: Poster Topic: Trauma - Tibia/Fibula
- Page 613 and 614: Poster Topic: Trauma - Tibia/Fibula
- Page 615 and 616: Poster Topic: Trauma - Tibia/Fibula
- Page 617 and 618: Poster Topic: Tumours Abstract numb
- Page 619 and 620: Poster Topic: Tumours Abstract numb
- Page 621 and 622: Poster Topic: Tumours Abstract numb
- Page 623 and 624: Poster Topic: Tumours Abstract numb
- Page 625 and 626: Poster Topic: Tumours Abstract numb
- Page 627 and 628: Poster Topic: Tumours Abstract numb
- Page 629 and 630: Poster Topic: Tumours Abstract numb
- Page 631 and 632: Poster Topic: Tumours Abstract numb
Poster<br />
Topic: Trauma - Shoulder<br />
Abstract number: 25906<br />
MINIMALLY INVASIVE FIXATION OF DISPLACED MIDCLAVICULAR<br />
FRACTURES WITH TITANIUM ELASTIC NAILS<br />
sung-hsiung CHIEN<br />
Kaohsiung medical university, Kaohsiung (TAIWAN)<br />
Clavicular fractures account for 2.6% of all fractures, and more than 80% involve the<br />
middle-third of the clavicle. Plate fixation of the displaced midclavicular fractures has<br />
been associated with complications such as infection, wound breakdown, nonunion,<br />
implant failures, poor cosmetic outcome, and local skin numbness. Herein, we report<br />
on a series of cases receiving minimally invasive insertion of a titanium elastic nails<br />
(TEN) to fix the displaced midclavicular fractures. From November 2006 to October<br />
2007, we operated on 24 patients (16 men) with displaced midclavicular fractures<br />
which we fixed with TEN. The mean age of the patients was 41.57 years. The nails<br />
were inserted from the medial entry point on sternal end and passed through the<br />
fracture site under fluoroscopy monitoring. Close reduction were successful in 16<br />
patients, and 8 patients needed open reduction. The mean operative wound length<br />
was 2.2 cm. There was no nonunion, infection, nail breakage or refracture after nail<br />
removal in our series. The mean length shortening was 0.32 cm. Iatrogenic<br />
perforation of the lateral cortex occurred in 2 patients, and nail misplacement<br />
occurred in 1 patient requiring revision. The mean DASH score was 6 (0 to 35; SD=<br />
10.47) and mean Constant score was 96 (78 to 100; SD=6.34). In conclusion,<br />
minimally invasive fixation with TEN is a safe method and can be performed with<br />
minor complications. It results in good cosmetic appearance and very satisfactory<br />
stabilization of displaced midclavicular fractures.<br />
583
Change language