J Korean Fract Soc.  2003 Apr;16(2):215-221. 10.12671/jksf.2003.16.2.215.

Treatment of Distal Clavicle Type II Fracture using K-Wires and Tension Band Wiring

• Chung WY
• Lee WS
• Jeon TS
• Kim DH
• Kim KK
• Lim JW

• KMID: 2195501
• DOI: http://doi.org/10.12671/jksf.2003.16.2.215

Abstract

PURPOSE: This is a retrospective study to analyze the clinical results of the usefulness of K-wires and tension band wiring that fix the fracture fragment directly without passing the acromioclavicular joint in distal clacivle type II fractures.
MATERIALS AND METHODS
From May 2000 to May 2001, eleven patients with distal clavicle type II fracture were treated by open reduction and internal fixation with K-wires and tension band wiring. The clinical results were analyzed according to modified shoulder rating scale for distal clavicle freacture. Radiological union, complication, and range of motion of the shoulder were assessed.
RESULTS
All fractures were united at 10 weeks (8~12 weeks) in average. Finally, full range of motion of the shoulder joint was achieved in all patients. No complication was found and the modified shoulder rating scale for distal clavicle fracture were as follows: excellent 9 and good 2.
CONCLUSION
K-wires and tension band wiring can be a good treatment method for distal clavicle type II fractures.

Keyword

Clavicle; Fracture; Distal; K wire; Tension band wiring

MeSH Terms

Acromioclavicular Joint
Clavicle*
Humans
Range of Motion, Articular
Retrospective Studies
Shoulder
Shoulder Joint