Operative treatment of clavicle midshaft fractures: comparison between reconstruction plate and reconstruction locking compression plate.
BACKGROUND
To compare the outcomes of reconstruction plate and reconstruction locking compression plate (LCP) for the treatment of clavicle midshaft fractures.


METHODS
Forty one patients with a clavicle midshaft fracture were treated by internal fixation with a reconstruction plate (19 patients) or reconstruction LCP (22 patients). The clinical and radiological results were evaluated according to the Quick Disability of the Arm, Shoulder, and Hand (DASH) score and plain radiographs.


RESULTS
The mean time to union was 14.6 weeks in the reconstruction plate group compared to 13.2 weeks in the reconstruction LCP group (p > 0.05). The mean score to Quick DASH was 33.85 points in the reconstruction plate group compared to 34.81 points in the reconstruction LCP group (p > 0.05). The complications in the reconstruction plate were hypertrophic scarring in 2 cases, painful shoulder in 2 cases, limitation of shoulder motion in 2 cases, and screw loosening in 3 cases. In addition, the complications in the reconstruction LCP group was hypertrophic scarring in 4 cases, painful shoulder in 1 case and a limitation of shoulder motion in 1 case (p > 0.05).


CONCLUSIONS
This study showed radiologically and clinically satisfactory results in both groups. Overall, operative treatment with a Reconstruction plate or reconstruction LCP for clavicle shaft fractures can be used to obtain stable fixation.
Cho
Chul-Hyun
CH
Department of Orthopaedic Surgery, Dongsan Medicial Center, Keimyung University School of Medicine, Daegu, Korea. oscho5362@dsmc.or.kr
Song
Kwang-Soon
KS
Min
Byung-Woo
BW
Bae
Ki-Cheor
KC
Lee
Kyung-Jae
KJ
D000328:Adult; D000368:Aged; D001860:Bone Plates; D002968:Clavicle / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D017102:Fracture Healing; D050723:Fractures, Bone / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011859:Radiography; D055815:Young Adult
Injury. 2003 Nov;34 Suppl 2:B63-76
14580987
J Bone Joint Surg Am. 2004 Jul;86(7):1359-65
15252081
J Bone Joint Surg Am. 1965 Oct;47(7):1335-46
4284420
Acta Orthop Scand. 2002 Apr;73(2):134-9
12079008
Clin Orthop Relat Res. 1968 May-Jun;58:29-42
5666865
J Am Med Assoc. 1960 Mar 5;172:1006-11
14426324
J Am Acad Orthop Surg. 2004 Jul-Aug;12(4):205-12
15473672
Arch Surg. 1963 Dec;87:963-6
14063829
Injury. 1978 May;9(4):263-7
649185
J Bone Joint Surg Am. 2007 Jan;89(1):1-10
17200303
J Trauma. 2006 Jun;60(6):1315-20; discussion 1320-1
16766977
Injury. 1988 May;19(3):162-4
3248891
Injury. 1999 Sep;30(7):497-500
10707218
J Bone Joint Surg Am. 2005 May;87(5):1038-46
15866967
Injury. 2001 Sep;32 Suppl 2:B3-9
11718733
Arch Chir Neerl. 1978;30(1):43-53
655731
Clin Orthop Relat Res. 1989 Aug;(245):89-101
2752636
J Orthop Trauma. 2005 Aug;19(7):504-7
16056089
Injury. 1992;23(4):237-41
1618563
J Bone Joint Surg Br. 1997 Jul;79(4):537-9
9250733
Orthopedics. 2007 Nov;30(11):959-64
18019991
J Bone Joint Surg Am. 1999 Feb;81(2):177-90
10073581
J Shoulder Elbow Surg. 2002 Sep-Oct;11(5):457-62
12378164
J Shoulder Elbow Surg. 1994 Nov;3(6):347-52
22958838
Clin Orthop Relat Res. 1968 May-Jun;58:43-50
5666866
Injury. 2003 Nov;34 Suppl 2:B31-42
14580984