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

OBJECTIVES

To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation.

DESIGN

Retrospective review of clavicle fractures.

SETTING

Level-1 trauma teaching center.

PATIENTS/PARTICIPANTS: One hundred twenty-nine clavicle fractures.

INTERVENTION

An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs.

MAIN OUTCOME MEASUREMENT

Radiographic assessment of healing and complication rates.

RESULTS

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.

CONCLUSIONS

Anterior-inferior placement of 2.7-mm DCPs seems safe and is associated with minimal complications.

LEVEL OF EVIDENCE

Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.