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. 2016 Dec 15;4(4):647-649.
doi: 10.3889/oamjms.2016.136. Epub 2016 Nov 22.

Midshaft Clavicular Fractures - Osteosynthesis with Minimally Invasive Technique

Tabet A Al-Sadek  1 , Desislav Niklev  2 , Ahmed Al-Sadek  3
Affiliations

Midshaft Clavicular Fractures - Osteosynthesis with Minimally Invasive Technique

Tabet A Al-Sadek et al. Open Access Maced J Med Sci. .

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.

Aim: The aim of this paper was to present the results of our patients treated with minimally invasive plate osteosynthesis (MIPO).

Material and 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.

Keywords: Midshaft Clavicle Fractures; Superior anterior Clavicle Plate; minimally invasive plate osteosynthesis (MIPO).

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Figures

Figure 1
Figure 1
C-arm position of craniocaudal view
Figure 2
Figure 2
Surgical steps. a) A small longitudinal incision was made at the distal end or proximal end of the clavicle; b) The Platysma were incised; c) Superior Anterior plate was inserted then the incision was made the other side; d) Indirect fracture reduction and temporally fixation with Kirschner wires; e) Then a fracture fixation was performed using the appropriate number of cortical screws and locking head screws; f) Layered closure was performed to repair the platysma
Figure 3
Figure 3
LCP Superior Anterior clavicle plate and LCP with lateral extension
See this image and copyright information in PMC

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