Treatment of unstable distal third clavicular fracture with locked distal radius plate
Ashraf Abdeldayem1, Waleed Nafea1, Abdelsalam Eid1
1Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
Background:
The ideal surgical fixation for displaced distal clavicle fractures should not involve restrictions of the movements of nearby joints.
Aim Of The Work:
To evaluate the results of internal fixation of unstable displaced distal third clavicle fractures using locked distal radius plates.
Patients And Methods:
Fifteen patients with Type II distal clavicle fractures were treated with open reduction and internal fixation using locked distal radius plates.
Results:
Thirteen patients achieved full range of motion of the shoulder while two patients had minor limitations. The mean modified shoulder score was 18.3 at the final follow-up. None of the patients developed implant failure, loss of reduction, wound breakdown, or deep infection.
Conclusion:
Good clinical results can be achieved with locked distal radius plate fixation in Type II fractures of the distal clavicle. With this technique, range of shoulder movement could be restored early without the needs for implant removal.
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Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...