J Korean Shoulder Elbow Soc.  2009 Jun;12(1):14-20.

Treatment of Type 2 Distal Clavicle Fracture using Wolter Plate

• Shin SI
• Song KW
• Lee JY
• Lee SY
• Kim GR
• Hyun YS
• Lee KN
• Lee ES

Abstract

PURPOSE: This study examined the clinical results of the treatment of type 2 distal clavicle fracture with using a Wolter plate.
MATERIALS AND METHODS
Between 2004 and 2007, 16 patient treated for type 2 distal clavicle fracture using a Wolter plate were included in this study. Their average age was 32.6 years and the postoperative mean follow-up period was 22.9 months. The reduction and union were qualified according to the immediate post-operative and final radiographs. The functional outcome was evaluated by Kona's system and the Constant score
RESULTS
By Kona's functional evaluation, there were 12 cases with excellent results, 3 cases with good results and 1 case of fair results and the average Constant score was 90. All 16 cases showed bony union. As complications, there was 1 case in which the protruded hook of the plate could be palpated at the skin, and 1 case showed an acromial fracture, but all the cases dispalyed successful bony union and there was no acromioclavicular joint arthritis, infection or any other complications.
CONCLUSION
Wolter plate fixation for type 2 distal clavicle fracture is a reliable surgical method for satisfactory reduction and rigid fixation, a lower incidence of nonunion and excellent clinical result

Keyword

Shoulder; Distal clavicle fracture; Wolter plate

MeSH Terms

Acromioclavicular Joint
Arthritis
Clavicle
Follow-Up Studies
Humans
Incidence
Shoulder
Skin