3.5 mm T-shaped LCP (Locking Compression Plate) Fixation for Unstable Distal Clavicular Fractures

Lee,  Churl Woo; Kim,  Hee Chun; Roh,  Jae Young; Park,  Young Su

doi:2008.11.1.41

Clin Shoulder Elb > Volume 11(1); 2008 > Article

Original Article

Journal of the Korean Shoulder and Elbow Society 2008;11(1):41-45.
DOI: https://doi.org/10.5397/CiSE.2008.11.1.041 Published online June 30, 2008.

3.5 mm T-shaped LCP (Locking Compression Plate) Fixation for Unstable Distal Clavicular Fractures

Churl Woo Lee, Hee Chun Kim, Jae Young Roh, Young Su Park

Department of Orthopedic Surgery, National Medical Center, Seoul, Korea. arthrodoc@naver.com

3.5 mm T형 잠김 금속판을 이용한 원위 쇄골 골절의 치료 결과

이철우·김희천·노재영·박영수

국립의료원 정형외과

Abstract

PURPOSE
To review the clinical and radiological results after an open reduction and internal fixation with a T-shaped LCP for unstable distal clavicle fractures. MATERIALS AND METHODS: From February 2005 to June 2006, ten patients with distal clavicle Neer type II fractures were treated with an open reduction and internal fixation with a T-shaped LCP. Bony union was identified by plain radiography. The clinical results were analyzed according to the UCLA scoring system.
RESULTS
The mean time to fracture union was 9weeks and union was achieved in all cases. The mean UCLA score was 33.4 (30-35); excellent in 8 cases and good in 2 cases. In one case, loosening of one distal screw was occured and mild AC joint subluxation was observed in another case.
CONCLUSION
3.5 mm T-shaped LCP fixation is a useful technique for treating unstable distal clavicle fractures. This procedure provide stable fixation with no further AC joint injury.

Key Words: Distal clavicle; Unstable fracture; T-plate; LCP