{"id":11567,"date":"2025-04-30T23:48:15","date_gmt":"2025-04-30T21:48:15","guid":{"rendered":"https:\/\/cepco-ch-123278.hostingersite.com\/publications\/all-suture-technique-for-fixation-of-unstable-displaced-distal-clavicle-fracture\/"},"modified":"2026-08-24T20:16:14","modified_gmt":"2026-08-24T18:16:14","slug":"all-suture-technique-for-fixation-of-unstable-displaced-distal-clavicle-fracture","status":"publish","type":"publications","link":"https:\/\/testing.cepco.ch\/fr\/publications\/all-suture-technique-for-fixation-of-unstable-displaced-distal-clavicle-fracture\/","title":{"rendered":"All-suture technique for distal clavicle fixation"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Publication :<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/37587969\/\" target=\"_blank\" rel=\"noreferrer noopener\">JSES Rev Rep Tech. 2022 Feb 19;2(2):168-173. doi : 10.1016\/j.xrrt.2022.01.005. eCollection 2022 May.   <\/a><\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Co-auteurs :<\/strong> Gauthier M, Culebras A, <a href=\"https:\/\/testing.cepco.ch\/biography-of-dr-gregory-cunningham\/\" target=\"_blank\" rel=\"noreferrer noopener\">Cunningham G.<\/a><\/p>\n\n<h2 class=\"wp-block-heading\">R\u00e9sum\u00e9 :<\/h2>\n\n<p class=\"wp-block-paragraph\"><strong>Contexte : <\/strong>Les fractures d\u00e9plac\u00e9es de la clavicule de type II et V de Neer sont g\u00e9n\u00e9ralement trait\u00e9es chirurgicalement chez les patients actifs. Cependant, la fixation du fragment distal reste un d\u00e9fi et aucun consensus n&rsquo;a \u00e9t\u00e9 \u00e9tabli concernant le traitement chirurgical optimal. Les techniques d&rsquo;ost\u00e9osuture ont \u00e9t\u00e9 popularis\u00e9es au cours de la derni\u00e8re d\u00e9cennie et de nombreuses techniques diff\u00e9rentes ont \u00e9t\u00e9 d\u00e9crites. L&rsquo;objectif de cette \u00e9tude \u00e9tait de d\u00e9crire une technique de suture compl\u00e8te chez des patients pr\u00e9sentant des fractures d\u00e9plac\u00e9es de la clavicule de type II et V et de rapporter ses r\u00e9sultats dans une s\u00e9rie de cas prospective.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>M\u00e9thodes : <\/strong>Entre 2017 et 2020, 15 patients pr\u00e9sentant des fractures aigu\u00ebs d\u00e9plac\u00e9es de la clavicule distale ont \u00e9t\u00e9 trait\u00e9s par une technique ouverte tout suture r\u00e9alis\u00e9e par un chirurgien sp\u00e9cialis\u00e9 dans l&rsquo;\u00e9paule, avec un suivi minimum de 1 an. La r\u00e9paration par ost\u00e9osuture consistait en un cerclage coracoclaviculaire avec 4 Ethibonds no6 et un cerclage de fracture en figure de 0 et figure de 8 avec 2 SutureTapes no2. L&rsquo;\u00e9valuation num\u00e9rique unique (SANE) et le score de Constant ajust\u00e9 ont \u00e9t\u00e9 enregistr\u00e9s \u00e0 6 mois et \u00e0 1 an. L&rsquo;union radiologique a \u00e9t\u00e9 \u00e9valu\u00e9e sur des radiographies simples.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>R\u00e9sultats : <\/strong>A 12 mois, tous les patients ont fait \u00e9tat d&rsquo;excellents r\u00e9sultats cliniques, avec un SANE moyen de 98,2 [\u00b1 5,2, fourchette de 80 \u00e0 100] et un score de Constant ajust\u00e9 moyen de 99,0 [\u00b1 1,9, fourchette de 94 \u00e0 100]. Un patient a d\u00e9velopp\u00e9 une raideur de l&rsquo;\u00e9paule qui s&rsquo;est r\u00e9sorb\u00e9e avant le suivi final. Les fractures ont consolid\u00e9 dans 93% des cas, l&rsquo;union se produisant entre 3 et 6 mois [range 3 to 12 months]. Un patient a d\u00e9velopp\u00e9 une malunion asymptomatique.   <\/p>\n\n<p class=\"wp-block-paragraph\"><strong>Conclusion : <\/strong>D&rsquo;excellents r\u00e9sultats cliniques et radiologiques peuvent \u00eatre obtenus avec cette technique de fixation mini-invasive par suture pour les fractures d\u00e9plac\u00e9es de la clavicule distale, qui permet une r\u00e9duction anatomique et une fixation stable. Cette \u00e9tude pilote a montr\u00e9 un faible taux de complications et un niveau \u00e9lev\u00e9 d&rsquo;union apr\u00e8s un suivi d&rsquo;un an. Parmi les nombreux avantages, on peut citer une exposition plus petite que pour la fixation par plaque, l&rsquo;\u00e9vitement des complications li\u00e9es au mat\u00e9riel telles que l&rsquo;\u00e9chec de la vis, la fracture de la coraco\u00efde due au forage ou les l\u00e9sions de la coiffe des rotateurs caus\u00e9es par les plaques \u00e0 crochet. En outre, elle permet d&rsquo;\u00e9viter une r\u00e9intervention pour retirer le mat\u00e9riel symptomatique.   <\/p>\n","protected":false},"featured_media":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}}},"publication_categories":[151],"class_list":["post-11567","publications","type-publications","status-publish","hentry","publication_categories-publications-scientifiques"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>All-suture technique for distal clavicle fixation - CEPCO - Centre Epaule Coude<\/title>\n<meta name=\"description\" content=\"Medline Indexed (Pubmed) - Cerclage; 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