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Miyazaki AN, da Silva LA, do Val Sella G, et al. Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique. Rev Bras Ortop. 2015;50(2):142-7doi: 10.1016/j.rboe.2015.02.008.
Miyazaki, A. N., da Silva, L. A., do Val Sella, G., Checchia, S. L., Cândido Dos Santos, S. H., & Chadud, V. S. (2015). Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique. Revista brasileira de ortopedia, 50(2), 142-7. https://doi.org/10.1016/j.rboe.2015.02.008
Miyazaki, Alberto Naoki, et al. "Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique." Revista brasileira de ortopedia vol. 50,2 (2015): 142-7. doi: https://doi.org/10.1016/j.rboe.2015.02.008
Miyazaki AN, da Silva LA, do Val Sella G, Checchia SL, Cândido Dos Santos SH, Chadud VS. Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique. Rev Bras Ortop. 2015 Feb 26;50(2):142-7. doi: 10.1016/j.rboe.2015.02.008. eCollection 2015. PMID: 26229907; PMCID: PMC4519575.
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Rev Bras Ortop. 2015 Feb 26;50(2):142-7. doi: 10.1016/j.rboe.2015.02.008. eCollection 2015.

Evaluation of the results from surgical treatment of fractures of the lateral extremity of the clavicle, using the double ligature technique.

Revista brasileira de ortopedia

Alberto Naoki Miyazaki, Luciana Andrade da Silva, Guilhermel do Val Sella, Sergio Luiz Checchia, Sílvia Helena Cavadinha Cândido Dos Santos, Vitor Schneider Chadud

Affiliations

  1. Faculdade de Ciências Médicas da Santa Casa de São Paulo (FCMSCSP), São Paulo, SP, Brazil.

PMID: 26229907 PMCID: PMC4519575 DOI: 10.1016/j.rboe.2015.02.008

Abstract

OBJECTIVE: To evaluate the incidence of consolidation in surgical treatment of fractures of the lateral extremity of the clavicle using the double subcoracoid ligature technique, with nonabsorbable No. 5 thread.

METHODS: Between May 1993 and June 2013, the Shoulder and Elbow Group of our service surgically treated 116 patients (116 shoulders) with fractures of the lateral extremity of the clavicle. Among these, we were able to reassess 65 cases. The surgical technique used consisted of double subcoracoid ligature with two nonabsorbable threads. In two patients classified as type III, we had to combine this technique with use of an interfragmentary screw for fixation of the intra-articular portion of the acromioclavicular joint.

RESULTS: We achieved fracture consolidation in 90%. Fourteen cases (21%) evolved with major complications: four cases of pseudarthrosis, five of adhesive capsulitis, two of delayed consolidation and three of loss of reduction. Two cases (3%) evolved with minor complications of skin granuloma.

CONCLUSION: The double ligature technique for fractures of the lateral extremity of the clavicle promotes the stabilization needed for consolidation to take place, without the need for synthesis using metal components. It avoids reoperation for the synthesis material to be removed. Moreover, it is a low-cost procedure with good reproducibility and preservation of the acromioclavicular joint.

Keywords: Acromioclavicular joint; Bone fractures; Clavicle

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