2024-03-28T14:55:04Z
https://nagoya.repo.nii.ac.jp/oai
oai:nagoya.repo.nii.ac.jp:02006261
2023-05-26T01:20:00Z
499:508:509:1685060434835
Hook plate fixation versus locking plate fixation for distal clavicle fracture: a multicenter propensity score-matched study
Takahashi, Hiroshi
Takegami, Yasuhiko
Tokutake, Katsuhiro
Katayama, Yujiro
Imagama, Shiro
distal clavicle fracture
locking plate
hook plate
clavicle
propensity score matching
Hook plate fixation and locking plate fixation are two standard internal fixation implants for treating distal clavicle fractures. We aimed to clarify the following: 1) Does the locking plate offer better clinical outcomes than the hook plate? 2) Is bone union better with a locking plate than hook plate? and 3) Are complications different between the locking plate and hook plate? We conducted a retrospective multicenter study of 338 patients who underwent surgery from 2014 to 2018 in our 10 hospitals, which comprise the TRON group. Of them, 208 patients treated using any plates were eligible. After 30 patients were excluded for various reasons, 178 patients were included. We classified them into two groups, locking plate group (Group L) and hook plate group (Group H), using propensity score matching. We confirmed bone union with an X-ray, evaluated the UCLA shoulder score, and compared the frequency of complications. After matching, Group L and Group H included 49 patients each. The UCLA score was higher in Group L than in Group H at each follow-up point. We confirmed bone union in all patients in Group L, but it was not confirmed in three patients (6.1%) in Group H. No statistically significant differences were observed except for plate migration, which was observed in nine patients (18.4%) in Group H but in no patients in Group L. The postoperative UCLA score was significantly better in Group L. We recommend the locking plate as a surgical treatment for distal clavicle fractures.
This is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (http://creativecommons.org/licenses/by-nc-nd/4.0/).
departmental bulletin paper
Nagoya University Graduate School of Medicine, School of Medicine
2023-05
application/pdf
Nagoya Journal of Medical Science
2
85
223
232
0027-7622
2186-3326
https://nagoya.repo.nii.ac.jp/record/2006261/files/02_Takahashi.pdf
eng
https://www.med.nagoya-u.ac.jp/medlib/nagoya_j_med_sci/852.html
Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International