Plate osteosynthesis for mid-shaft clavicle fractures: An update
Nicola Annicchiarico1, Arturo Latta1, Emmanuele Santolini2
1Orthopedics and Trauma Unit, Ospedale Moriggia-Pelascini, Via Moriggia Pelascini, 3, 22015 Gravedona - CO, Italy.
Plate osteosynthesis effectively treats mid-shaft clavicle fractures, enabling anatomical restoration and early shoulder function recovery. This surgical approach is recommended for optimal patient outcomes and return to sport activities.
Area of Science:
- Orthopedic Surgery
- Traumatology
Background:
- A recent shift towards surgical intervention for mid-shaft clavicle fractures.
- Plate osteosynthesis is increasingly utilized for these injuries.
Purpose of the Study:
- To report outcomes of plate osteosynthesis for mid-shaft clavicle fractures.
- To compare findings with existing literature.
Main Methods:
- Retrospective cohort study of 32 patients.
- Treatment involved plate and screw fixation.
- Minimum 24-month follow-up with radiographic and clinical evaluations (DASH, Constant scores).
Main Results:
- All patients achieved clinical and radiographic healing.
- No deformities or non-unions were observed.
- Mean Constant Score: 93.8; Mean DASH Score: 42 at 1-year follow-up, indicating early functional recovery.
Conclusions:
- Plate and screw osteosynthesis restores clavicle anatomy.
- Facilitates early shoulder function recovery and return to pre-injury activities.
- Surgical treatment should be strongly considered for mid-shaft clavicle fractures.
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