Open AccessDistal Clavicle Fractures: Open Reduction and Internal Fixation With a Hook Plate
Author(s) -
Jacob M. Kirsch,
Laura Blum,
Mark E. Hake
Publication year - 2018
Publication title -
journal of orthopaedic trauma
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.221
H-Index - 121
eISSN - 1531-2291
pISSN - 0890-5339
DOI - 10.1097/bot.0000000000001214
Subject(s) - medicine , hook , nonunion , internal fixation , clavicle , fixation (population genetics) , surgery , reduction (mathematics) , dentistry , population , geometry , environmental health , mathematics
Displaced distal clavicle fractures pose unique challenges because of their propensity for instability. In particular, type II fracture patterns are associated with high rates of nonunion with nonoperative management; therefore, surgical fixation is often recommended. Hook plate fixation has demonstrated reliably high rates of osseous union with good functional outcomes. We present our surgical technique and rationale for using a hook plate in the setting of an unstable distal clavicle fracture.