Results of anterior-inferior 2.7-mm dynamic compression plate fixation of midshaft clavicular fractures.

Abstract

To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation. Retrospective review of clavicle fractures. Level-1 trauma teaching center. One hundred twenty-nine clavicle fractures. An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs. Radiographic assessment of healing and complication rates. One hundred twenty-five fractures healed (97%). Postoperative complications included 1 superficial wound problem, 3 deep wound problems, 5 nonunions, and 4 prominent implants requiring removal in 3. Anterior-inferior placement of 2.7-mm DCPs seems safe and is associated with minimal complications. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.