Optimal surgical treatment of unstable distal clavicle fractures
is controversial, and various fixation options are available. The objective of this study was to evaluate a new modified tension band fixation
technique for unstable distal clavicle fractures
Forty-two patients with acute unstable distal clavicle fractures
were managed with open reduction and internal fixation using modified tension band fixation
. All patients had radiographic and clinical follow-ups at a minimum of 12 months (range, 12–39 months). Bony union and coracoclavicular interval distance were evaluated radiographically. Clinical outcomes were measured with the American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form.
united solidly within 3 months. All patients had a good functional result, with a mean American Shoulder and Elbow Surgeons Standardized Shoulder Assessment Form score of 92 points and a coracoclavicular interval distance of 8.7 mm (range, 5–14 mm; 1.24 times of normal shoulder) at the final follow-up.
Surgical treatment for unstable distal clavicle fractures
using modified tension band fixation
is effective. This technique allows simple, cost-effective, and minimally invasive fixation with universally available implants and good fracture healing.