Clinical Application of Suture anchors Surgery and Plate Internal Fixation Surgery in Sternoclavicular Joint Dislocation

Abstract Purpose This retrospective study evaluates the effectiveness of plate internal fixation versus suture anchors and cable internal fixation in managing sternoclavicular dislocations. Methods Clinical data from 24 patients with sternoclavicular joint dislocations admitted to Beijing Jishuitan Hospital between May 2013 and May 2022 were analyzed. Patients were categorized into two groups based on the surgical intervention received: plate internal fixation and suture anchors and cable internal fixation. Constant-Murley(C-M) scores before surgery and at 1 and 4 weeks postoperatively were compared using independent sample t-tests. Results Among the patients, 45.8% sustained posterior dislocations, predominantly due to car accidents (n=12). All had previously unsuccessful closed reductions. Fourteen patients underwent incisional internal fixation, including six with plate internal fixation and eight with anchor nail fixation surgery; one patient received fixation via fiber wire drilled octagonal technique. The anchor nail fixation group demonstrated the most significant improvement compared to both the closed reduction failure group and the plate internal fixation group. 37.5% of patients experienced additional traumatic injuries, with two instances of postoperative plate fractures and one wound hematoma reported. No patients suffered from neurovascular injuries or long-term functional impairments. Conclusion Suture anchors internal fixation appears to be a highly effective method for treating sternoclavicular joint dislocations. This technique is simple, effective, and facilitates rapid recovery of joint function, thus offering a superior option for patients with this condition. Level of Evidence: Level III, Retrospective Study.