Hook-plate fixation of unstable lateral clavicle fractures: a report on 63 patients.
BACKGROUND
Hook-plate fixation of unstable lateral clavicle fractures has given promising results in previous reports, but numbers of patients have been small. We assessed the results of this technique in 63 patients.


METHODS
63 patients with unstable lateral clavicle fractures were operated on at Oulu University Hospital during 1997-2004, using a clavicle hook-plate. Fracture union and complications were assessed retrospectively from case records and radiographs. The subjective part of the Constant score, Oxford shoulder questionnaire data and subjective shoulder value (SSV) were assessed after an average of 3.6 years in 58 patients. 31 patients were reviewed at the outpatient clinic, using complete Constant scores and radiographs of both acromioclavicular joints.


RESULTS
59 fractures united uneventfully. There was 1 case of delayed union and 3 nonunions, but only 1 of these required surgery. Additional complications involved 1 case of infection, 1 frozen shoulder and 3 cases of late fracture medial to the plate. The mean Oxford score was 15, the mean for the subjective part of the Constant score was 32, and the SSV was 86%.


CONCLUSIONS
Clavicle hook-plate fixation of unstable lateral clavicle fractures results in a good union rate and good shoulder function.
Flinkkilä
Tapio
T
Department of Surgery, Division of Orthopaedic and Trauma Surgery, University Hospital. Oulu, FI-90029 OYS. Finland. Tapio.Flinkkila@ppshp.fi
Ristiniemi
Jukka
J
Lakovaara
Martti
M
Hyvönen
Pekka
P
Leppilahti
Juhana
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D001860:Bone Plates; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D005260:Female; D005593:Fracture Fixation, Internal / Q000009:adverse effects / Q000295:instrumentation* / Q000379:methods; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D011795:Surveys and Questionnaires; D016896:Treatment Outcome