title: Minimally invasive treatment for Neer IIb distal clavicle fractures with titanium cable.
abstract: BACKGROUND
  Neer IIB distal clavicle fracture is associated with disruption of the coracoclavicular ligament and a variable degree of displacement. Surgical treatment using various implants such as intramedullary wires, screws, and plates has been described in the literature with satisfactory results.
  
  
  METHODS
  We report our experience of minimally invasive treatment using titanium cable for type IIB clavicular fractures. A retrospective analysis was performed to evaluate the outcomes of patients with Neer IIB distal clavicle fractures that were treated with titanium cable between 2003 and 2008. Functional outcome was evaluated using the Karlsson's criteria. The mean follow-up was 32 months (range, 12-48 months). Twenty-nine patients met the inclusion criteria.
  
  
  RESULTS
  All patients progressed to osseous union at a mean time of 12 weeks (range, 10-15 weeks). There was one metal work failure that did not affect functional recovery. According to Karlsson's criteria, radiographic representations (3 months after surgery) and postoperative shoulder functional recovery revealed an excellent and good rate in all cases.
  
  
  CONCLUSIONS
  Minimally invasive surgery using titanium cable seems to be a good option for the treatment of Neer IIB distal clavicle fractures, with early functional recovery and no requirement for revision surgery.
authors.affiliation: Department of Orthopaedic Surgery, Kunming General Hospital of the PLA, Kunming, People's Republic of China.
authors.forename: Yang
authors.initials: Y
authors.lastname: Li
authors.forename: Sheng
authors.initials: S
authors.lastname: Shi
authors.forename: Yue-Ping
authors.initials: YP
authors.lastname: Ou-Yang
authors.forename: Tie-Long
authors.initials: TL
authors.lastname: Liu
mesh_terms: D000328:Adult; D002968:Clavicle / Q000293:injuries* / Q000503:physiopathology; D004867:Equipment Design; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation* / Q000379:methods; D050723:Fractures, Bone / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D016268:Internal Fixators; D008023:Ligaments, Articular / Q000293:injuries; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation / Q000379:methods; D020127:Recovery of Function; D012189:Retrospective Studies; D012785:Shoulder Joint / Q000503:physiopathology; D014025:Titanium; D055815:Young Adult
chemical_list: D014025:Titanium