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Archives of Orthopaedic and Trauma Surgery

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Open Access 01-04-2010 | Trauma Surgery

Anterior-inferior plating of middle-third fractures of the clavicle

Authors: Chin-En Chen, Rei-Jahn Juhn, Jih-Yang Ko

Published in: Archives of Orthopaedic and Trauma Surgery | Issue 4/2010

Abstract

Introduction

Various techniques have been reported for the treatment of middle-third clavicle (collar bone) fractures. This prospective study was conducted to evaluate the results of anterior-inferior plating using a 3.5-mm reconstruction plate for the treatment of middle-third clavicle fractures.

Patients and methods

Twenty-six patients with middle-third clavicle fractures were treated with anterior-inferior plating. The indications for surgery included complete displacement, severe comminution, and marked shortening of the clavicle (>2 cm).

Results

The mean time to union was 14 weeks (range 8–20 weeks). At the time of latest follow-up, all of the patients had returned to their pre-injury activity level. The plates were removed in ten patients after the fractures healed. No patients required plate removal due to implant-related problems.

Conclusion

Anterior-inferior plating is an effective treatment modality for middle-third clavicle fractures, with few complications and early return of shoulder function. The procedure provides stable fixation, avoids risk to vital structures below the clavicle, and is associated with a low rate of implant-prominence problems.

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Title: Anterior-inferior plating of middle-third fractures of the clavicle
Authors: Chin-En Chen
Rei-Jahn Juhn
Jih-Yang Ko
Publication date: 01-04-2010
Publisher: Springer-Verlag
Published in: Archives of Orthopaedic and Trauma Surgery / Issue 4/2010
Print ISSN: 0936-8051
Electronic ISSN: 1434-3916
DOI: https://doi.org/10.1007/s00402-009-0993-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Anterior-inferior plating of middle-third fractures of the clavicle

Abstract

Introduction

Patients and methods

Results

Conclusion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Patients and methods

Results

Conclusion

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