caa a22 4500 605460078 CHVBK 20210128100237.0 cr unu---uuuuu 210128e20150501xx s 000 0 eng 10.1007/s00167-013-2772-9 doi (NATIONALLICENCE)springer-10.1007/s00167-013-2772-9 Outcome of arthroscopic treatment for displaced lateral clavicle fractures using a double button device [Elektronische Daten] [Philippe Loriaut, Pierre-Emmanuel Moreau, Benjamin Dallaudière, Alexandre Pélissier, Hoang Vu, Philippe Massin, Patrick Boyer] Purpose: The purpose of this study was to assess the clinical and radiological outcomes of an arthroscopically assisted fixation of type IIB fractures using a double button device. Methods: Twenty-one patients with a type IIB displaced fracture of the clavicle who received an arthroscopically assisted fixation using a double button device were enrolled from 2009 to 2011. Clinical assessment included the patient's demographics, cause of injury, delay before surgery, time for surgery, time before resuming work and sports, the Shoulder and Hand (QuickDASH) score, the Constant-Murley score and the visual pain analogue scale (VAS). Radiological examination consisted of anteroposterior and axillary radiographs. Results: The median age of patients was 33years (range 18-67). Mean follow-up was 35±8.9months (range 24-51months). The average delay before surgery was 3days (range 1-7). At final follow-up, the mean QuickDASH score, Constant score and VAS were respectively 3.2±6 (range 0-25), 94.8±9.9 (range 62-100) and 0.5±1.2 (range 0-4). Seventeen (81%) patients were able to resume work, including heavy manual labour, and to resume their sport activities as well. Postoperative complications included one transient adhesive capsulitis, a symptomatic acromioclavicular joint osteoarthritis and an implant failure with nonunion. Bony union was achieved in all other patients. Conclusion: This study has demonstrated that the arthroscopic treatment using a double button device was effective at providing a satisfactory functional outcome, minimizing the risk of complications and presenting low implant failure and low nonunion rates in patients with Neer type IIB fractures of the distal clavicle. Such results lead us to consider this minimally invasive technique as a first-choice treatment. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2013 Distal clavicle fracture nationallicence Arthroscopic treatment nationallicence Shoulder arthroscopy nationallicence Stabilization nationallicence Loriaut Philippe Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Moreau Pierre-Emmanuel Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Dallaudière Benjamin Department of Radiology, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Pélissier Alexandre Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Vu Hoang Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Massin Philippe Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Boyer Patrick Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1429-1433 0942-2056 23:5<1429 2015 23 167 https://doi.org/10.1007/s00167-013-2772-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-013-2772-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Loriaut Philippe Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Moreau Pierre-Emmanuel Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Dallaudière Benjamin Department of Radiology, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Pélissier Alexandre Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Vu Hoang Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Massin Philippe Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 700 1- Boyer Patrick Department of Orthopaedic Surgery, Bichat Claude Bernard Hospital, Paris Diderot University, 46 Rue Henri Huchard, 75877, Paris Cedex 18, France aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/5(2015-05-01), 1429-1433 0942-2056 23:5<1429 2015 23 167