Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques
Purpose: Operative therapy for unstable lateral clavicle fractures is necessary to reduce the risk of bony non-union. Irritation and restriction during sportive activities due to the implanted materials are a common reason for impaired function and implant removal. The aim of this study was to gain...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-10-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/20/4685 |
| _version_ | 1797514245495062528 |
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| author | Markus Wurm Michael Zyskowski Sebastian Pesch Peter Biberthaler Chlodwig Kirchhoff Marc Beirer |
| author_facet | Markus Wurm Michael Zyskowski Sebastian Pesch Peter Biberthaler Chlodwig Kirchhoff Marc Beirer |
| author_sort | Markus Wurm |
| collection | DOAJ |
| description | Purpose: Operative therapy for unstable lateral clavicle fractures is necessary to reduce the risk of bony non-union. Irritation and restriction during sportive activities due to the implanted materials are a common reason for impaired function and implant removal. The aim of this study was to gain information on functional outcome and time until return to sport (RTS) after surgical treatment of unstable lateral clavicle fractures, comparing two coracoclavicular button techniques. Methods: A retrospective chart review of patients who were consecutively treated for unstable lateral clavicle fractures at our level one trauma center from 2014 to 2018 was conducted. Two different surgical techniques were evaluated and compared. Group 1 was treated using a locking compression plate and knotted DogBone™ Button, while group 2 received an LCP and knotless DogBone™ Button. Functional outcome (ASES (American Shoulder and Elbow Score), Constant-Score, DASH (Disability of Arm, Shoulder and Hand), MSQ (Munich Shoulder Questionnaire) and SPADI (Shoulder Pain and Disability Index) and time until RTS were investigated and compared between both groups, 1 year postoperatively. Results: A total of 56 patients (<i>n</i> = 35 group 1, <i>n</i> = 21 group 2) with a mean age of 45.1 ± 14.6 years met the inclusion criteria. Functional outcome reached good to excellent results (ASES 94.7 ± 9.8, Constant Score 85.1 ± 8.1, DASH 5.5 ± 8.4, MSQ 90.9 ± 7.2, SPADI 96.1 ± 5.7). Implant removal rates were higher in group 1 (48.3% vs. 35.3%) yet without statistical significance (<i>p</i> = 0.122). All patients returned to sports postoperatively with a mean time period until return to sport of 4.6 (3–9) months. Conclusion: Locking compression plating and coracoclavicular fixation using a knotless Dogbone™ technique provides good to excellent functional outcomes, a high and fast rate of return to sport and lower irritation rates compared to the knotted DogBone™ technique. |
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| format | Article |
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| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T06:28:54Z |
| publishDate | 2021-10-01 |
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| series | Journal of Clinical Medicine |
| spelling | doaj.art-75d573379bf7450b8e4096729bbf98f52023-11-22T18:41:32ZengMDPI AGJournal of Clinical Medicine2077-03832021-10-011020468510.3390/jcm10204685Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation TechniquesMarkus Wurm0Michael Zyskowski1Sebastian Pesch2Peter Biberthaler3Chlodwig Kirchhoff4Marc Beirer5Department of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyDepartment of Trauma Surgery, Klinikum Rechts der Isar, Technical University Munich, 81675 Munich, GermanyPurpose: Operative therapy for unstable lateral clavicle fractures is necessary to reduce the risk of bony non-union. Irritation and restriction during sportive activities due to the implanted materials are a common reason for impaired function and implant removal. The aim of this study was to gain information on functional outcome and time until return to sport (RTS) after surgical treatment of unstable lateral clavicle fractures, comparing two coracoclavicular button techniques. Methods: A retrospective chart review of patients who were consecutively treated for unstable lateral clavicle fractures at our level one trauma center from 2014 to 2018 was conducted. Two different surgical techniques were evaluated and compared. Group 1 was treated using a locking compression plate and knotted DogBone™ Button, while group 2 received an LCP and knotless DogBone™ Button. Functional outcome (ASES (American Shoulder and Elbow Score), Constant-Score, DASH (Disability of Arm, Shoulder and Hand), MSQ (Munich Shoulder Questionnaire) and SPADI (Shoulder Pain and Disability Index) and time until RTS were investigated and compared between both groups, 1 year postoperatively. Results: A total of 56 patients (<i>n</i> = 35 group 1, <i>n</i> = 21 group 2) with a mean age of 45.1 ± 14.6 years met the inclusion criteria. Functional outcome reached good to excellent results (ASES 94.7 ± 9.8, Constant Score 85.1 ± 8.1, DASH 5.5 ± 8.4, MSQ 90.9 ± 7.2, SPADI 96.1 ± 5.7). Implant removal rates were higher in group 1 (48.3% vs. 35.3%) yet without statistical significance (<i>p</i> = 0.122). All patients returned to sports postoperatively with a mean time period until return to sport of 4.6 (3–9) months. Conclusion: Locking compression plating and coracoclavicular fixation using a knotless Dogbone™ technique provides good to excellent functional outcomes, a high and fast rate of return to sport and lower irritation rates compared to the knotted DogBone™ technique.https://www.mdpi.com/2077-0383/10/20/4685lateralclaviclefracturearthroscopyORIFreturn to sport |
| spellingShingle | Markus Wurm Michael Zyskowski Sebastian Pesch Peter Biberthaler Chlodwig Kirchhoff Marc Beirer Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques Journal of Clinical Medicine lateral clavicle fracture arthroscopy ORIF return to sport |
| title | Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques |
| title_full | Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques |
| title_fullStr | Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques |
| title_full_unstemmed | Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques |
| title_short | Good to Excellent Functional Outcome and High Return to Sports Rate after Operative Treatment of Unstable Lateral Clavicle Fractures: Comparison of Two Coracoclavicular Button Fixation Techniques |
| title_sort | good to excellent functional outcome and high return to sports rate after operative treatment of unstable lateral clavicle fractures comparison of two coracoclavicular button fixation techniques |
| topic | lateral clavicle fracture arthroscopy ORIF return to sport |
| url | https://www.mdpi.com/2077-0383/10/20/4685 |
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