A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture
LIU Gang, ZHANG Lei, ZHANG Bao-lu, WANG Guo-you, ZHOU Xing, GUAN Tai-yuan, GUO Xiao-guang, FU Shi- jie
Chinese Journal of Clinical Anatomy ›› 2017, Vol. 35 ›› Issue (4) : 431-436.
A novel double-endobutton device assisted shoulder arthroscopy in treating Neer type IIB distal clavicle fracture
Objective The aim of this study was to assess the effect of a novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures. Methods We retrospectively analysized 40 patients with Neer type IIB distal clavicle fractures .They were randomly divided into 2 groups: one was the novel double-endobutton group (A, 20 patients), the other hook plate group (B, 20 patients). The measurement of CMS, VAS scores and incision length, blood loss were employed to assess the outcome of two groups. Result (1) The specific values were as follows: incision length:(2.99±0.71) cm, (6.10±0.98) cm (P<0.05); the blood loss: (53.50±4.82) ml, (95.50±6.69) ml (P<0.05); (2) For CMS part, the A group was significantly better than group B 1 month after surgery (P<0.05); compared with group B, the post-op 1 month and 1 year VAS Scores were significantly better (P<0.05), the preoperative and 6 months were with no statistical difference. Conclusion The novel double-endobutton device assisted arthroscopy in treating Neer type IIB distal clavicle fractures is a minimally invasive strategy with better clinical outcomes, which has lots of advantages including a short incision, less bleeding, lower cost, early functional exercise and without a second operation.
Neer type IIB distal clavicle fracture; / A novel double-endobutton; / Hook plate; / Arthroscopy
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