Abstract
This study assesses the results of surgical treatment of 15 displaced Neer type II
fractures of the lateral clavicle in 15 patients, which occurred between November
1988 and March 1995 and which were followed up for a mean period of 4.6 years (range
2–9 years). The patients fell into two groups, one ‘acute group’ and one ‘non-union’
group.
Patients treated initially by a non-operative approach had suffered prolonged morbidity
and time off work prior to and after surgery. The ultimate result was good. The fixation
used was a Dacron arterial graft as a sling around the clavicle and coracoid process.
Delayed (non-union) cases were augmented with bone graft and inter-fragmentary screw
fixation. All fractures eventually united.
We question the place of prolonged non-operative management in the treatment of displaced
Neer type II fractures of the lateral clavicle.
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Article info
Publication history
Accepted:
October 18,
1999
Identification
Copyright
© 2000 Elsevier Science Ltd. Published by Elsevier Inc. All rights reserved.
