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Plate osteosynthesis for mid-shaft clavicle fractures: An update

Published:October 30, 2020DOI:https://doi.org/10.1016/j.injury.2020.10.085

      Highlights

      • Treatment of mid-shaft clavicle fractures seems to have shifted from conservative to surgical due to its better reported outcomes.
      • Our study reports the results of a series of 32 mid-shaft clavicle fractures treated with plate and screws and compares them with literature.
      • All patients healed without deformity or non-union, with complete and early functional recovery and returned to pre-injury sport activities.
      • At one year follow-up the mean constant score was 93.8 (SD 4.8) and the mean DASH score was 42 (SD 5.0).
      • Osteosynthesis with plate and screws of mid-shaft clavicle fractures allows not only restoration of the anatomy, but also early recovery of shoulder function.

      Abstract

      Introduction

      Over the last few years, treatment of mid-shaft clavicle fractures seems to have shifted from conservative to surgical. Our study reports the results of plate osteosynthesis of mid-shaft clavicle fractures and compares them with literature.

      Materials and methods

      A retrospective cohort study was conducted on 32 patients with mid-shaft clavicle fractures treated with plate and screws between January 2009 and December 2014. All the patients followed the same post-operative rehabilitation program with radiographic and clinical evaluation (DASH score and Constant score) at a minimum follow-up of 24 months.

      Results

      All the patients healed clinically and radiographically, without deformities or non-unions, with complete and early functional recovery and return to their pre-injury sport activities. At one year follow-up the mean Constant Score was 93.8 (SD 4.8) and the mean DASH score was 42 (SD 5.0).

      Conclusions

      Osteosynthesis with plate and screws of mid-shaft clavicle fractures allows not only restoration of the anatomy, but also early recovery of shoulder function. For this reason, such surgical treatment should always be considered when facing this particular fracture group, also in accordance with recent literature.

      Keywords

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