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We retrospectively evaluated the clinical outcomes of a novel fixation technique using a miniature locking plate with a single button in patients with distal clavicle fractures associated with coracoclavicular ligament disruption. The study involved seven patients with distal clavicle fractures with a follow-up period of 12 months. All patients were diagnosed with type IIb fractures according to the Neer classification. The distal clavicle fracture was fixed with a miniature locking plate, and the coracoclavicular ligaments were reconstructed using a single button. Functional outcomes were assessed at the final follow-up visit. At the 1-year follow-up, all patients had achieved radiographic union. There were no cases of nonunion or osteolysis. The mean Constant score at the final follow-up was 88\u2009\u00b1\u20095.13 (range, 78\u201393); the mean Disabilities of the Arm, Shoulder and Hand score was 19.17\u2009\u00b1\u20097.70 (range, 11.67\u201325); and the mean University of California Los Angeles score was 30\u2009\u00b1\u20092.52 (range, 25\u201333). In summary, internal fixation using a miniature locking plate and coracoclavicular reconstruction with a single button is a reliable surgical technique for restoring stability in patients with Neer type IIb distal clavicle fractures.<\/jats:p>","DOI":"10.1177\/03000605211022505","type":"journal-article","created":{"date-parts":[[2021,6,22]],"date-time":"2021-06-22T03:56:03Z","timestamp":1624334163000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Treatment of unstable distal clavicle fractures (Neer type IIb): a modified system using a miniature locking plate with a single button"],"prefix":"10.1177","volume":"49","author":[{"given":"Hua","family":"Ying","sequence":"first","affiliation":[{"name":"Shanghai Key Laboratory of Orthopaedic Implant, Department of Orthopaedics, Shanghai Ninth People\u2019s Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, PR 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