Does anatomic locking compression plate play a vital role in maintaining length of clavicle in comminuted fracture & enhance good functional outcome

Abstract

Deformity following un-united and mal-united adult clavicle fractures is being increasingly recognised as the indications for operative treatment of displaced fractures of the clavicle. Various options include low contact dynamic compression plates, which are strong, but difficult to contour and cause soft tissue irritation. Recon plates are easier to contour, but lack sufficient mechanical strength. Anatomical Pre-contoured locking plates are now available, matching the shape of the adult clavicle. The purpose of this study is to assess the clinical and radiological outcome of a pre-contoured clavicle plate in the treatment of acute, displaced, mid-shaft clavicle fractures. This study presents the results of 26 patients treated with an anatomical congruent clavicle plate for acute displaced, mid-shaft fractures of the clavicle at a tertiary referral centre. All patients were managed with a precontured clavicle plate. The fracture united in all cases with no complication and high patient satisfaction on the Disability of the Arm and Shoulder (DASH) score and Pain Visual analogue score (VAS). The results were compareble with other published studies, and the pre contured clavicle plate represents one of the best operative management of these fractures.