Biplanar Osteosynthesis for Severely Displaced Proximal-Third Clavicle Fracture: A Case Report.

Area of Science:

• Orthopaedic Surgery
• Traumatology

Background:

• Proximal-third clavicle fractures are uncommon and typically managed non-operatively.
• These injuries can be associated with significant trauma, including thoracic or spinal injuries.
• Conservative treatment may yield suboptimal outcomes for displaced fractures with small medial fragments, potentially leading to nonunion and functional deficits.

Observation:

• A 41-year-old male patient presented with a displaced extra-articular proximal-third clavicle fracture.
• The fracture was surgically managed using open reduction and internal fixation with a double-plate technique.

Findings:

• At twelve months post-surgery, the patient achieved full range of motion.
• The patient successfully returned to work without limitations.

Implications:

• Biplanar osteosynthesis may represent an effective treatment strategy for displaced proximal-third clavicle fractures.
• This surgical technique can restore function and facilitate return to work in patients with these challenging fractures.