title: Treatment for unstable distal clavicle fractures (Neer 2) with locking T-plate and additional PDS cerclage.
abstract: OBJECTIVE
  The purpose of the current study was to assess the clinical and radiological results after locking T-plate osteosynthesis with coracoclavicular augmentation of unstable and displaced distal clavicle fractures (Neer type 2).
  
  
  METHODS
  Thirty patients, treated between January 2007 and January 2010 were followed up after a median follow-up time of 12.2 months (range 4.7-37.2). The Constant and DASH scores were used to evaluate the clinical outcome, and anterior-posterior and 30° cephalic view radiographs were performed to assess the bony healing.
  
  
  RESULTS
  In all patients, the fracture healing was achieved within the first 10 weeks after surgery. All patients regained good or excellent shoulder function and returned to previous occupation and activity levels. The mean Constant and DASH scores were 92.3 points and 6.2 points, respectively. We did not observe any severe intra- or post-operative complication within the time of follow-up.
  
  
  CONCLUSIONS
  The presented technique turned out to be a reliable method providing good results without showing severe complications.
  
  
  METHODS
  Case series, Level IV.
authors: Clinic for Trauma Surgery, University Hospital Rechts der Isar, Technical University Munich, Ismaninger Str. 22, 81675, Munich, Germany. fmartetschlaeger@sprivail.org
authors: Frank
authors: F
authors: Martetschläger
authors: Tobias M
authors: TM
authors: Kraus
authors: Clara Sophie
authors: CS
authors: Schiele
authors: Gunther
authors: G
authors: Sandmann
authors: Sebastian
authors: S
authors: Siebenlist
authors: Karl F
authors: KF
authors: Braun
authors: Ulrich
authors: U
authors: Stöckle
authors: Thomas
authors: T
authors: Freude
authors: Markus
authors: M
authors: Neumaier
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D001672:Biocompatible Materials; D001860:Bone Plates; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000379:methods*; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D016687:Polydioxanone; D011859:Radiography; D013536:Suture Techniques; D013537:Sutures; D055815:Young Adult
chemical_list: D001672:Biocompatible Materials; D016687:Polydioxanone