Biomechanical evaluation of fixation of the coracoclavicular stand-alone cow-hitch suture reconstruction in comparison to two established techniques for highly unstable distal clavicle fractures (Neer type V).

Although 6 specimens per group (18 shoulders in total) is a reasonable number and significant differences were observed, the groups might still be underpowered, which may also explain why the higher ultimate load to failure in the CH group compared with the LPCC group showed only a statistical trend but no actual significant difference.

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