title: Midshaft Clavicular Fractures - Osteosynthesis with Minimally Invasive Technique.
abstract: BACKGROUND
  Fractures of the clavicle are one of the most common fractures in modern orthopaedics and traumatology practice. Knowing the mechanism of trauma, and it's pathophysiological elements, it's clear distinction and it's individual features are essential to the development of more new and effective methods for their treatment, and the minimising of postoperative complications.
  
  
  OBJECTIVE
  The aim of this paper was to present the results of our patients treated with minimally invasive plate osteosynthesis (MIPO).
  
  
  METHODS
  Between January 2011 and March 2013, 12 patients were treated with MIPO technique. The mean age was 47.5 years (range, 16-79 years). Outcomes and complications of clinical treatment were reviewed.
  
  
  RESULTS
  All fractures healed within a mean period of 4.9 months (range, 2-10 months). Regarding complications, there was no occurrence of implant failure or deep infection. There were no nonunions, but one 79-year-old man had a delayed union. Almost of all the cases didn't need bending of the plate. Seven plates were removed by their hopes. And there weren't any cases that required new incisions.
  
  
  CONCLUSIONS
  A pre-contoured plate anatomically configured to fit the clavicle was easier to apply. MIPO technique for midshaft clavicle fractures may be a good option.
authors.affiliation: Department of Orthopaedics and Traumatology, Belhoul European Hospital, Dubai, United Arab Emirates.
authors.forename: Tabet A
authors.initials: TA
authors.lastname: Al-Sadek
authors.affiliation: Trakia University, Faculty of Medicine, Stara Zagora, Bulgaria.
authors.forename: Desislav
authors.initials: D
authors.lastname: Niklev
authors.affiliation: Medical University, Sofia, Bulgaria.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Al-Sadek
keywords: Midshaft Clavicle Fractures; Superior anterior Clavicle Plate; minimally invasive plate osteosynthesis (MIPO)