ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2020
Displaced medial clavicle fractures: operative treatment with locking compression plate fixation.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Different internal fixation methods for unstable distal clavicle fractures in adults: a systematic review and network meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Surgical treatment of unstable and displaced medial clavicle fractures with a contoured biplanar low profile angle stable implant.Operative Orthopadie und Traumatologie · 2026Article
- Management of a Complex Medial-End Clavicle Fracture With Hook Plate Fixation After Failed Prior Surgeries: A Case Report and Narrative Review of Surgical Options.Case reports in orthopedics · 2026Article
- Bilateral clavicle fractures of the medial third treated by inverted anatomic locking plates: a case report.Frontiers in surgery · 2025Article
- [Treatment concepts for the medial clavicle and the sternoclavicular joint].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Clavicle Shaft Non-Unions-Do We Even Need Bone Grafts?Journal of clinical medicine · 2024Article
- The application of inverted lateral clavicle locking compression plate for medial clavicle fractures: biomechanical study and clinical implementation.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Mini Fragment Locking Compression Plate Fixation of a Rare Case of Displaced Medial End Clavicle Fracture.Cureus · 2024Article
- Surgical repair of symptomatic medial clavicular fracture nonunion using a reversed distal clavicle plate: a report of 3 cases.JSES reviews, reports, and techniques · 2023Article
- Clinical Outcome after Clavicular Hook Plate Fixation for Displaced Medial-End Clavicle Fractures.Clinics in orthopedic surgery · 2023Article
- Displaced medial clavicle fractures: a systematic review of outcomes after nonoperative and operative management.JSES international · 2023Article
- Comparison of hook plate versus T-plate in the treatment of Neer type II distal clavicle fractures: a prospective matched comparative cohort study.Journal of orthopaedic surgery and research · 2022Article
- A Sternoclavicular Joint-Specific Plate for the Displaced Medial-End Clavicle Fracture.Frontiers in surgery · 2022Article
- Excellent clinical and radiological outcome following locking compression plate fixation of displaced medial clavicle fractures.BMC musculoskeletal disorders · 2021Article
- An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis.JSES international · 2020Review
- Clavicle fractures in adults; current concepts.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Review
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesMedial clavicle fractures are rare injuries and historically treated non-operatively. Displaced medial clavicle fractures, however, have a higher incidence of delayed- or non-union compared to non- displaced medial clavicle fractures and might benefit from operative treatment. We describe below a new technique for treating intra-articular fractures or extra-articular fractures with a small medial fragment using special locking plates and present the results of our operatively treated patients.
methodsFirst we describe our technique for treating very medial fractures with the radial (VA)-LCP™ Distal Humerus Plate (DePuy Synthes, Switzerland). Second, a retrospective cohort study was performed. All patients operated on for a displaced medial clavicle fracture between 2010 and 2017 were included. Primary outcome was the QuickDASH score and the Subjective Shoulder Value (SSV). Secondary outcomes were operative complications including mal- or non-union and implant removal.
resultsAll 15 patients were available for follow-up. Fourteen patients were included in our analysis. One patient was excluded due to severe concomitant injuries. Six patients were treated with the radial (VA)-LCP™ Distal Humerus Plate, eight patients with the LCP™ Superior Anterior Clavicle Plate with lateral extension (DePuy Synthes, Switzerland) and one with a LCP 3.5 plate. The mean follow-up was 39 months (range 9-79). The mean QuickDASH score was 0.81 (range 0-4.50, SD ± 1.44) and the mean SSV was 96 (range 80-100, SD ± 6.53). One patient had an early revision operation and developed an infection after 1.5 years. No mal- or non-unions occurred. Eight patients had their implants removed.
conclusionsOperative treatment of displaced medial clavicle fractures with well-fitting 'small fragment' locking plates provides an excellent long-term functional outcome. Intra-articular fractures or extra-articular fractures with a small medial fragment can be treated with the radial (VA)-LCP™ Distal Humerus Plate.
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