Abstract: Fracture of the lateral end clavicle especially displaced fractures like the type II b are difficult to manage. Superior displacement due to deforming forces of trapezius and the small distal lateral fracture fragment cause difficulty in surgical management. Suture anchor technique is an easy and reliable way of fixing these fractures and has a superior functional outcome. This study illustrates the functional outcome following suture anchor fixation of lateral end clavicle fractures.
Materials and Methods: 153 fracture clavicle since 2011 out of which 23 are lateral end clavicle fracture of which are stable and treated conservatively among these 11 patients had type 2 unstable distal end fracture and thus selected to undergo surgical intervention.
Results: A total of 11 patients with type II clavicle fractures were enrolled in our study (9 males, 2 females). Mean patient age was 43.1±8.5 years, and mean follow-up period was 25.3 months (range: 12–56 months). CMS scores for all 11 patients at 3 and 12 months postoperatively were 73.10±5.43 and 91.63±3.72, respectively.
Conclusion: Several methods of fixation with K wire, open reduction and internal fixation (ORIF) with plate and screws spanning the acromioclavicular joint, hook plate, coracoclavicular screw fixation and suture anchor fixation wires have been described in literature. For unstable lateral end clavicle fractures stabilization with suture anchor is a safe, reliable management and less technically demanding mode of management with good results.
