title: Management of distal clavicle fractures.
abstract: Management of type II distal clavicle fractures has always been a challenge. Non-operative treatment has a high risk of complications and should be considered only for elderly and frail patients. For younger and active patients there is a wide variety of operative options, each with advantages and disadvantages. According to our unit's experience the first choice could be hook plate fixation, with very good and reproducible results. Another option could be Kirschner-wire fixation with or without tension band wiring; however, because of potential wire complications or difficulties in rehabilitation, the method should be reserved for reliable patients and used with a meticulous technique.
authors.affiliation: 2nd Orthopaedic Department, Aristotle University of Thessaloniki, G. Gennimatas General Hospital, Thessaloniki, Greece.
authors.forename: Ilias
authors.initials: I
authors.lastname: Bisbinas
authors.forename: Petros
authors.initials: P
authors.lastname: Mikalef
authors.forename: Ioannis
authors.initials: I
authors.lastname: Gigis
authors.forename: Theodoros
authors.initials: T
authors.lastname: Beslikas
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Panou
authors.forename: Ioannis
authors.initials: I
authors.lastname: Christoforidis
mesh_terms: D000173:Acromioclavicular Joint / Q000503:physiopathology; D001696:Biomechanical Phenomena; D001864:Bone Wires; D002968:Clavicle / Q000293:injuries*; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000145:classification / Q000503:physiopathology / Q000601:surgery*; D006801:Humans