Comparison of four different treatment methods in distal clavicle fractures: Conservative treatment, locking plate, hook plate and tension band wiring

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Peker G., Abdioglu A. A., Karadeniz S., Uygun H., Yukunc I., ASLAN O., ...More



Aim: This study aimed to observe the effects of the conservative treatment, locking plate, hook plate and tension band fixation techniques used for distal clavicle fractures (DCF) on fracture healing, pain, functional outcomes and complications. Material and Methods: Ninety-four patients treated conservatively and surgically for DCF between 2016 and 2020 were included in the study. Age, gender, Neer classification of the fracture, treatment type, fracture side, fracture healing period, Constant shoulder outcome score, Visual Analog Scale (VAS) scores and complications were examined. Statistical analysis findings were evaluated with the IBM SPSS 28 program at p<0.05 significance level. Results: Of the patients, 77 % were male and 23% were female. 51% of individuals were under 40 years of age. The median follow-up time was 13 months. Conservative treatment was applied to 34% of the individuals, locking plate to 36.2%, hook plate to 14.9% and tension band wiring to 14.9%. There was a moderate negative correlation between the VAS Score and the Constant Score (p<0.05). There was no statistically significant difference between the groups in terms of Constant scores, VAS scores and fracture healing (p>0.05). Complications were seen in the hook plate and tension band wiring groups, but not in the locking plate group. Discussion: There is no optimal treatment method for DCFs. In this study, no significant difference was found between methods. The complication rate with the locking plate method is lower than with other surgical methods.