Comparative analysis of functional outcome of anatomical precontoured locking plate versus reconstruction plate in the management of displaced midshaft clavicular fractures

Journal of Orthopaedic Surgery
P KingslyN Deen Muhammad Ismail

Abstract

For the fixation of displaced midshaft clavicular fractures, different plates are available, each with its specific pros and cons. The ideal plating choice remains subject to ongoing discussion. Reconstruction plates are cheap and easily bendable, but their strength and stability have been questioned. The anatomical precontoured locking plates provide better stability and strength compared with the reconstruction plate. We have analyzed both prospectively and retrospectively 55 cases of displaced midshaft clavicular fractures treated surgically using precontoured anatomical locking plate (24 cases) or reconstruction plate (31 cases) for patients admitted in our institute between January 2011 and December 2017. The clinical and radiological outcomes between the reconstruction plate and precontoured anatomical locking plate were compared using Quick Disability of the Arm, Shoulder and Hand (DASH) score and plain radiographs, respectively. The mean time to union was 16.3 weeks in the reconstruction plate group compared with 13.4 weeks in the precontoured locking plate group. The mean score in Quick DASH was 32.65 in the reconstruction group and 25.44 points in the precontoured locking plate group. We had complications such as hype...Continue Reading

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