title: VA-LCP anterior clavicle plate: the anatomically precontoured fixation system with angular stability for clavicle shaft.
abstract: BACKGROUND
  The aim of this investigation was to evaluate the introduction of the VA-LCP anterior clavicle plate in the treatment of clavicle fractures.
  
  
  METHODS
  From March 2011 to March 2013, 42 clavicle fractures were treated; 40 were middle-third and 2 lateral-third, and 13/42 (31 %) patients were treated due to painful nonunion. Patient age ranged from 16 to 81 years.
  
  
  RESULTS
  Complications were screw placement through the AC-joint, one superficial wound infection and one neuropraxia of the nervus radialis with dropping hand. We had some difficulties prebending both lateral to low and lateral to high but without clinical consequences. In all cases, the fracture healed with full functionality. After 1 year, 4 patients underwent a removal of the hardware.
  
  
  CONCLUSIONS
  The VA-LCP anterior plate showed good reliability and sufficient stability with both middle-third, lateral and nonunion fractures of the clavicle.
authors.affiliation: Department of Surgery, Meander Medical Center Amersfoort, P.O. Box 1502, 3800 BM, Amersfoort, The Netherlands, gdj.van.olden@meandermc.nl.
authors.forename: G D J
authors.initials: GD
authors.lastname: van Olden
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001860:Bone Plates; D002968:Clavicle / Q000293:injuries / Q000601:surgery*; D005260:Female; D005593:Fracture Fixation, Internal; D050723:Fractures, Bone / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011474:Prosthesis Design; D055815:Young Adult