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Table 4 Major and minor complications

From: What is the optimal surgical treatment for Neer type IIB (IIC) distal clavicle fractures? A systematic review and meta-analysis

Implant/surgical technique

N = 790

Major complications

Minor complications

Non-union

Implant failure

Peri implant fracture

Deep infection

Coracoid or acromial fracture

Malunion – Delayed union

Hardware irritation, migration breakage, loosening

Subacromial osteolysis

Clavicular erosion

Button subsidence Peri-anchor or screw osteolysis

Slight Loss of reduction

AC joint arthrosis

Pain /discomfort

Frozen shoulder /stiffness

Superficial infection

Scar problems, skin irritation

wound breakdown

Hook plate [39, 48, 57, 58, 60]

132

1

 

4

 

1

5

 

26

   

19

6

  

Locking plate

252

               

(−) CC augmentation [46, 58, 59]

45

     

6

2

   

6

1

 

1

 

(+) CCA-screw [40, 53]

19

1

     

6

     

10

  

(+) CCA-anchor(s), sutures, cables [7, 33, 52, 59,60,61]

111

1

1

   

2

8

  

4

 

2

8

  

(+) CCA-button [18, 36, 38, 40, 62]

77

2

     

1

      

3

 

CC stabilization

365

               

Arthroscopic (91)

                

(+) ACJ transfixation [47, 49, 55]

49

3

     

1

     

2

1

1

(−) ACJ transfixation [37, 41, 54]

42

1

    

1

4

    

1

1

  

Open (274)

                

(+) ACJ transfixation [7, 31, 32, 40, 42, 44, 56]

108

2

 

1

  

6

5

 

4

 

6

  

2

1

(−) ACJ transfixation [34, 35, 39, 43, 45, 50]

166

1

 

1

  

1

1

     

1

3

2

AC joint trans-fixation [51]

41

      

12

    

7

   
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Journal of Orthopaedic Surgery and Research

ISSN: 1749-799X