Displaced Medial-End Clavicle Fractures Treated with Locking Plate Osteosynthesis

BACKGROUND The purpose of this study was to evaluate clinical efficacy of the medial-end clavicle fractures with a reversed lateral locking clavicle plate. MATERIAL AND METHODS Eleven male patients age 28 to 66 years old with medial-end clavicle fractures were included in the present study from October 2014 and October 2017. All the patients received operation of fixed with reversed lateral locking clavicle plates. In the operation, a curved incision approximately 8 to 10 cm in length was made, and after the reduction, the fracture was fixed by a reversed lateral locking clavicle plate. Postoperative follow-up was performed in order to evaluate the efficacy of the treatment. Disabilities of the Arm, Shoulder and Hand (DASH) score was used in evaluation the shoulder function post-operation. The functional assessment was performed by using the DASH score. RESULTS No intraoperative complications were found during the operation. All patients' incisions achieved healing after operations. Eleven cases were scored by DASH scoring after the operation; Of these, 9 patients were rated excellent, and 2 patients were rated good. There were no neurovascular injuries, nor were there any hemopneumothorax or internal fixation failures. CONCLUSIONS The fixation of with reversed lateral locking clavicle plates is effective safe patients with medial-end clavicle fractures.