title: Treatment of unstable distal third clavicular fracture with locked distal radius plate.
abstract: BACKGROUND
  The ideal surgical fixation for displaced distal clavicle fractures should not involve restrictions of the movements of nearby joints.
  
  
  OBJECTIVE
  To evaluate the results of internal fixation of unstable displaced distal third clavicle fractures using locked distal radius plates.
  
  
  METHODS
  Fifteen patients with Type II distal clavicle fractures were treated with open reduction and internal fixation using locked distal radius plates.
  
  
  RESULTS
  Thirteen patients achieved full range of motion of the shoulder while two patients had minor limitations. The mean modified shoulder score was 18.3 at the final follow-up. None of the patients developed implant failure, loss of reduction, wound breakdown, or deep infection.
  
  
  CONCLUSIONS
  Good clinical results can be achieved with locked distal radius plate fixation in Type II fractures of the distal clavicle. With this technique, range of shoulder movement could be restored early without the needs for implant removal.
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
authors.forename: Ashraf
authors.initials: A
authors.lastname: Abdeldayem
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
authors.forename: Waleed
authors.initials: W
authors.lastname: Nafea
authors.affiliation: Department of Orthopaedic Surgery, Faculty of Medicine, Zagazig University, Zagazig, 44519, Egypt.
authors.forename: Abdelsalam
authors.initials: A
authors.lastname: Eid
keywords: Clavicle; Fracture; Internal fixation; Locked plate; Surgery