ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2026
Low-profile 2.7 mm VA-LCP plates vs. 3.5 mm LCP plates for midshaft clavicle osteosynthesis: a retrospective comparison.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeImplant related irritation and subsequent removal are one of the main disadvantages of clavicle plate osteosynthesis. 2.7 mm VA-LCP clavicle plates with a lower profile were introduced in recent years, with the aim to improve fit and reduce plate prominence. This study aims to investigate whether this leads to a lower implant removal rate compared to the older 3.5 mm LCP clavicle plates.
methodsAll patients that underwent single-plate osteosynthesis for midshaft clavicle fractures between 2019 and 2024 in a Swiss level I trauma-center were included. Patients were categorized into two treatment groups: DePuy Synthes 3.5 mm LCP clavicle plates or DePuy Synthes 2.7 mm VA-LCP clavicle plates. Treatment groups were compared regarding healing, complications, and removal rate.
results101 patients were included, 54 with a 2.7 mm VA-LCP plate, and 47 with a 3.5 mm LCP plate. There were no significant differences in implant removal due to hardware irritation (44% versus 49%), overall reintervention rate (46.3% versus 53.2%, p = 0.49), infection (0% versus 4.3% p = 0.21), and refractures (1.9% versus 6.4%, p=0.34). All fractures healed in both groups.
conclusionNewer 2.7 mm VA-LCP clavicle single plating shows similar results in terms of complication and healing rates compared to older 3.5 mm LCP plating. Despite the design aiming for reduced plate-prominence, it does not demonstrate a significant reduction in removal rates in this study. Further studies are needed to ascertain the generalizability of results.
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