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. 2021 May 10:25:134-139.
doi: 10.1016/j.jor.2021.05.010. eCollection 2021 May-Jun.

Clinical outcomes of a combined osteoligamentous reconstruction technique of Neer Type IIB distal clavicle fractures

Cody R Perskin  1 , Nirmal C Tejwani  1 , Laith M Jazrawi  1 , Philipp Leucht  1 , Kenneth A Egol  1
Affiliations

Clinical outcomes of a combined osteoligamentous reconstruction technique of Neer Type IIB distal clavicle fractures

Cody R Perskin et al. J Orthop. .

Abstract

Purpose: To evaluate outcomes for a combined osteoligamentous reconstruction technique for Neer Type IIB clavicle fractures.

Methods: Patients with Neer Type IIB clavicle fractures treated with combined clavicular locking plate and coracoclavicular ligament suture reconstruction were identified. Demographics, clinical outcomes, and radiographic outcomes were collected.

Results: Twenty-four patients with mean 13 months of follow-up were included. Bony union and normal radiographic coracoclavicular relationship were achieved in 23 (96%) patients. The mean UCLA Shoulder score was 33.3. Three (13%) complications occurred.

Discussion: The combined osteoligamentous reconstruction approach as described is a successful option for treating Neer Type IIB clavicle fractures.

Keywords: Coracoclavicular ligament; Distal clavicle; Fracture; Locking plate; Neer type II; Surgical technique.

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Conflict of interest statement

None.

Figures

Fig. 1a
Fig. 1a
Neer Type IIB distal clavicle fracture with CC ligament disruption.
Fig. 1b
Fig. 1b
Surgical repair with locking plate and CC ligament reconstruction.
Fig. 2a
Fig. 2a
Distal fracture gap under locking plate at 15 months post op.
Fig. 2b
Fig. 2b
Interval healing at 2 months post op ROH and ICBG placement.
See this image and copyright information in PMC

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