SUMMARY
Background. The treatment of Neer’s type II distal clavicle fractures is challenging because of the high risk of non-union with non-operative management on one hand and complications associated with the operation on other.
Methods. Autologous semitendinosus tendon mediated anatomical coracoclavicular (CC) ligament reconstruction was done in 9 Neer’s type II acute distal clavicle fractures. The functional and radiological outcomes were assessed after 12 months of operation.
Results. There were 8 men and 1 woman in the patients assessed at 12 months of operation. At final evaluation of 12 months 7 Neer’s type IIA, and 2 IIB fractures were assessed. The mean age of the patients included in the study was 39 years. The mean operating time was 87 minutes. All except one patient achieved radiological union. All patients had excellent functional outcome scores. The mean Constant and Murley (CMS) score at 12 months of follow up was 90.55 ± 57.80. The CMS score for the case with non-union was 85 at 12 months. The mean CC distance before and after the operation was 19.56 ± 2.80 mm and 11.56 ± 6.7 mm. The difference in the mean CC distance between normal and operated side was less than 5 mm after 12 months of operation in all the cases.
Conclusions. The application of autograft mediated anatomical acromioclavicular joint reconstruction technique to CC stabilization in Neer’s II distal clavicle fracture achieves union and excellent functional outcomes.
Autologous Semitendinosus Tendon Mediated Stabilization of The Coracoclavicular Space Results in Union and Excellent Functional Outcomes in Neer’s Type II Distal Clavicle Fractures: A Preliminary Report
S. Kumar Nema, D. Udayakumar, G. Balaji, S. Gandhi B., P. Pasupathy, M. Prabu
Case Report, 69-76
Keywords: Neer’s type II distal clavicle fracture; Constant and Murley scores; nonunion; acromioclavicular; coracoclavicular,
Table of Content: Vol. 11 (No.1) 2021 January/March
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Autologous Semitendinosus Tendon Mediated Stabilization of The Coracoclavicular Space Results in Union and Excellent Functional Outcomes in Neer’s Type II Distal Clavicle Fractures: A Preliminary Report
S. Kumar Nema, D. Udayakumar, G. Balaji, S. Gandhi B., P. Pasupathy, M. PrabuCase Report, 69-76 -
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