Results of operatively treated lateral clavicle fractures

This retrospective study presents the results of 41 patients with a lateral clavicle fracture eight years after the treatment at the Staatliche Orthop adische Klinik of the LMU Munchen in the time between 31.10.1979 and 31.10. 1994. It could be shown that the lateral clavicle fractures, due to their v ariety, hold a special position among the clavicle fractures and thus need a differanciated therapeutic procedure. Among the operation methods the K-w ire stabilisation with cerclage was the most often chosen operation techniq ue i.e. in 24 cases. The K-wire without cerclage was used in two cases. Twe lve fractures were treated with AO-plate-osteosynthesis. Three fractures ha d to be treated by resection, as they produced two pseudarthrosis and one s erious AC-arthrosis during the conservative therapy. 92,7% of the subjectiv e results of the 41 checked up patients were good and very good. The clinic al follow-up of 36 and the radiological follow-up of 33 patients revealed i n 97% a good and very good outcome in the Boenisch-Score.