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Hook plate fixation versus locking plate fixation for distal clavicle fracture: a multicenter propensity score-matched study

Takahashi, Hiroshi Takegami, Yasuhiko Tokutake, Katsuhiro Katayama, Yujiro Imagama, Shiro 名古屋大学

2023.05

概要

Although distal clavicle fractures are relatively rare, representing only 15–28% of all clavicle
fractures, they constitute 30–45% of the cases of nonunion.1-3 Nonunion of a distal clavicle
fracture causes pain and dysfunction. Various implants for fixation of distal clavicle fracture have
been developed to prevent nonunion, including coracoclavicular fixation, tension band wiring,
hook plates, and clavicular locking plates.4,5 Hook plate fixation and locking plate fixation are
two standard internal fixation implants for treating clavicle fractures. Recent systematic reviews
have shown that both the hook plate and locking plate offer excellent bone union rates and
provide comparative functional outcomes,6,7 although hook plate fixation had higher complication
rates.6-12 However, these reviews were based on case series with relatively small sample size. In
addition, only a few papers directly compare the two fixation methods. We hypothesized that
clinical outcome with the clavicular locking plate would be better than that with hook plate
fixation for distal clavicle fracture. The purpose of this multicenter study was to compare 1)
the clinical outcomes of hook plate fixation to those of locking plate fixation for distal clavicle
fracture, 2) bone union with the two devices, and 3) the incidence of complications. ...

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参考文献

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References End

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