title: Results of anterior-inferior 2.7-mm dynamic compression plate fixation of midshaft clavicular fractures.
abstract: OBJECTIVE
  To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation.
  
  
  METHODS
  Retrospective review of clavicle fractures.
  
  
  METHODS
  Level-1 trauma teaching center.
  
  
  METHODS
  One hundred twenty-nine clavicle fractures.
  
  
  METHODS
  An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs.
  
  
  METHODS
  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.
  
  
  METHODS
  Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
authors.affiliation: Orthopaedic Associates of Michigan, Grand Rapids, MI 49503, USA. clifford.jones@oamichigan.com
authors.forename: Clifford B
authors.initials: CB
authors.lastname: Jones
authors.forename: Debra L
authors.initials: DL
authors.lastname: Sietsema
authors.forename: James R
authors.initials: JR
authors.lastname: Ringler
authors.forename: Terrence J
authors.initials: TJ
authors.lastname: Endres
authors.forename: Martin F
authors.initials: MF
authors.lastname: Hoffmann
mesh_terms: D001860:Bone Plates; D002968:Clavicle / Q000293:injuries*; D005260:Female; D005593:Fracture Fixation, Internal / Q000295:instrumentation*; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D012189:Retrospective Studies