Is plating of mid-shaft clavicular fractures possible with a conventional straight 3.5 millimeter locking compression plate?

Abstract:

OBJECTIVES:Current literature describes improved clinical outcomes and a minor rate of pseudoarthrosis following operatively treated clavicular fractures. We investigated the feasibility of using a standard 3.5 mm AO locking compression plate (LCP) of adequate length for the stabilisation of mid-shaft fractures of the clavicle. METHODS:The length and acromial and diaphyseal curvature depths were measured in 49 cadaveric clavicles. We then assessed how well the 6, 7, 8 and 9-hole plates fit on the clavicles. RESULTS:The mean clavicular length was 155±12 mm, with a mean acromial curvature of 18.1±3.7 mm and a mean diaphyseal curvature of 12 mm±4 mm. The optimum plate for the clavicle was a 7-hole LCP, providing adequate fixation in 48 of the 49 clavicles. CONCLUSION:The described technique for plate osteosynthesis of the clavicle with AO locking compression plate is feasible and results in a biomechanically strong construct for mid-shaft fractures. With the use of a locking plate, comminuted fractures may be bridged without a reduction in the strength of the construct.

authors

Grechenig W,Heidari N,Leitgoeb O,Prager W,Pichler W,Weinberg AM

doi

10.3944/AOTT.2011.2468

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

115-9

issue

2

eissn

1017-995X

issn

2589-1294

journal_volume

45

pub_type

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