[Case-control studies of the treatment for the distal clavicle fracture by elastic band inclined "8" fixation].
OBJECTIVE
To compare the effects of the treatment for the distal clavicle fracture with two different methods.


METHODS
There were 120 cases of the distal clavicle fractures involved in the study. Among them, 75 cases were treated by self-improved elastic band inclined "8" fixation (Manipulation group), 45 cases were treated by open reduction and internal fixation with clavicular hook plate (Operation group).


RESULTS
There was statistically significant difference between manipulation group (6.71+/-2.35 weeks) and operation group (11.38+/-4.58 weeks) in the time of fracture union (P<0.01); but, there was no statistically significant difference between manipulation group (100%) and operation group (97.8%) in the rate of fracture union (P>0.05). According to the evaluation of shoulder-joint function, 56, 14 and 5 cases obtained excellent, good and bad result respectively in manipulation group; 38, 5 and 2 cases obtained excellent, good and bad respectively in operation group. There was no statistically significant difference between manipulation group (93.3%) and operation group (95.5%) in the rate of excellent and good (P>0.05).


CONCLUSIONS
Compared with open reduction and internal fixation with clavicular hook plate, treatment with self-improved elastic band inclined "8" fixation can shorten the union time of fracture and reduce therapeutic risks, so it is an economical, practical and safe method for the distal clavicle fracture.
Hong
Ming-fei
MF
Department of Orthopaedics, Taizhou Hospital of Traditional Chinese Medicine, Taizhou 318000, Zhejiang, China.
Yu
Can-ming
CM
Jiang
Zhao-bo
ZB
Tao
Xi-dong
XD
Xu
Rong-min
RM
Chen
Guo-jun
GJ
Chen
Jian-hong
JH
Pan
Hai-yu
HY
Li
Kuang-lin
KL
D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D002968:Clavicle / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000628:therapy*; D006801:Humans; D008297:Male; D008349:Manipulation, Orthopedic / Q000379:methods*; D008875:Middle Aged