title: Distal clavicular fracture treatment with suture anchor method.
abstract: OBJECTIVE
  The aim of this study was to evaluate the results of the suture anchor fixation in the treatment of distal clavicle fractures.
  
  
  METHODS
  This cross series study included 43 patients (27 males, 12 females; mean age: 40.1±10.18 years) with type II unstable distal clavicle fractures. The fractures were fixed by 2 pins and 1 suture anchor. All patients were followed at postoperative months 3, 6, and 12 and underwent clinical and radiographic evaluation after 1 year, ongoing at 6-month intervals thereafter. Demographic data were recorded on the first postoperative day. At third and 12th month follow-up, Constant-Murley Shoulder Outcome Score (CMS) was used to assess performance of the acromioclavicular joint, and Visual Analog Scale questionnaire was used to assess patient satisfaction.
  
  
  RESULTS
  Based on CMS scores 1 year after surgery, 37 patients were in excellent condition, and 2 patients were in good condition. Mean surgical case duration was 43.25±4.01 min. These results indicate that there was no significant association between CMS scores and surgical case duration. Mean time to union in our patients was 4.46±0.96 months.
  
  
  CONCLUSIONS
  We were able to observe optimal results in our patients by using closed reduction and suture anchors without opening the fracture site, thus allowing physiological processes in union without complications of complete union, while also preventing additional costs such as removing the device.
authors.affiliation: Department of Orthopedics and Traumatology, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Ahmadreza
authors.initials: A
authors.lastname: Mirbolook
authors.affiliation: Department of Orthopedics and Traumatology, Sina Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Mirmostafa
authors.initials: M
authors.lastname: Sadat
authors.affiliation: Department of Orthopedics and Traumatology, Tehran University of Medical Sciences Tehran, Iran. dmrgolbakhsh@yahoo.com.
authors.forename: Mohammadreza
authors.initials: M
authors.lastname: Golbakhsh
authors.affiliation: Department of Orthopedics and Traumatology, Medical Faculty, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Mohammad Sadegh
authors.initials: MS
authors.lastname: Mousavi
authors.affiliation: Department of Orthopedics and Traumatology, Medical Faculty, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Amirmohammad
authors.initials: A
authors.lastname: Gholizadeh
authors.affiliation: Department of Orthopedics and Traumatology, Orthopaedic Research Center, Guilan University of Medical Sciences, Rasht, Iran.
authors.forename: Sepehr
authors.initials: S
authors.lastname: Saghari
mesh_terms: D000173:Acromioclavicular Joint / Q000601:surgery*; D000328:Adult; D002968:Clavicle / Q000000981:diagnostic imaging / 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; D053441:Suture Anchors; D016896:Treatment Outcome