A Comparative Study on Fixation of Unstable Lateral End Clavicle Fractures with Tightrope and Endobutton by Transcoracoid and Subcoracoid Cerclage Techniques
Background: The purpose of this study is to evaluate the results of patients treated with transcoracoid and subcoracoid cerclage techniques of fixation by tightrope and endobutton for lateral one-third clavicle fractures. Materials and Methods: Fourteen patients with lateral end clavicle fractures w...
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| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2024-12-01
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| Series: | Journal of Orthopedics, Traumatology and Rehabilitation |
| Subjects: | |
| Online Access: | https://journals.lww.com/10.4103/jotr.jotr_6_24 |
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| Summary: | Background:
The purpose of this study is to evaluate the results of patients treated with transcoracoid and subcoracoid cerclage techniques of fixation by tightrope and endobutton for lateral one-third clavicle fractures.
Materials and Methods:
Fourteen patients with lateral end clavicle fractures were operated either by transcoracoid technique (n = 8) or by subcoracoid cerclage technique (n = 6). Preoperatively, the variables of the patients including age, gender, side, and mechanism of injury Neer’s classification type were collected. The patients were followed up at 6 months and 1 year, and visual analog scale (VAS) pain score, American Shoulder and Elbow Surgeons (ASES) score, and subjective shoulder value (SSV) were analyzed along with range of motion and radiographic evaluation.
Results:
The clinical outcome at the end of 1 year was compared between the transcoracoid and subcoracoid cerclage techniques. The final coracoclavicular displacement at the end of 1 year was not significant (14.5 ± 1.6 mm and 14.33 ± 1.3 mm; P = 0.84). There was no significant difference in terms of final VAS score (1.38 ± 1.5 and 0.83 ± 0.9; P = 0.46), final ASES score (92.11 ± 3.4 and 93.68 ± 3.7; P = 0.37), final SSV % (89.83 ± 4.9 and 90.83 ± 3.7; P = 0.56), flexion (130° ± 15° and 135° ± 17°; P = 0.58), external rotation (65° ± 7° and 66° ± 5°; P = 0.65), and abduction (132° ± 21° and 146° ± 26°; P = 0.29), respectively.
Conclusion:
The functional and radiological outcomes of both surgical techniques did not show any significant difference, but marginally, better outcome was seen in the subclavicular technique. However subcoracoid technique may be considered superior in terms of better biomechanical strength, less complications, and lower cost. |
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| ISSN: | 0975-7341 2347-3746 |