Comparative Study between Superior and Anteroinferior Plate Fixation of the Clavicle | ||
| The Egyptian Orthopaedic Journal | ||
| Volume 60, Issue 3, September 2025, Pages 294-300 PDF (511.67 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/EOJ.2025.449745 | ||
| Authors | ||
| Mohamed Y. Abuzeid* ; Ahmed A.-M. Dewidar | ||
| Department of Orthopaedic Surgery, Menoufia University Faculty of Medicine, Shebin El-Kom, Menoufia, Egypt. | ||
| Abstract | ||
| Background The optimal plate position for the clavicle is still controversial. The current study sought to compare the results of superior versus anteroinferior plating for fixation displaced midshaft clavicle fractures. Patients and Methods This study was a prospective comparative study. A 3.5mm plate (reconstruction or small dynamic compression) and screws construct was used either on the superior or anteroinferior surface. Functional results were evaluated at the final follow-up using the items of the disabilities of the arm, shoulder, and hand (DASH) score. Functional results, union rates, and complications were compared. Results Each group consisted of 30 patients. The epidemiological and baseline characteristics in both groups were comparable including age, sex, injured side, smoking status, and AO/OTA fracture classification. The operative time was 96.3±15.1 in the superior plate group and 93.5±16.1min in the anteroinferior plate group, P= 0.490. The mean follow-up was 18.1±2.6 in the superior plate group and 16.9±3.9 months in the anteroinferior plate group, P= 0.166. Mean disabilities of the arm, shoulder, and hand score was 2.5±7.9 and 3.8±8.4 in the superior and anteroinferior plate groups, respectively, P= 0.539. The mean constant murley score was 8143±8.42 and 81.13±9.63 in superior and anteroinferior plate groups, respectively, P= 0.898. The bony union rate was 93.3% and 100% in the superior and anteroinferior plate groups, respectively, P= 0.150. Complications occurred at rates of 13.3 and 3.3% in superior and anteroinferior groups, respectively, P= 0.161. Total secondary intervention rates were 40 and 16.7% in superior and anteroinferior plate groups, respectively, P= 0.045. Conclusions Superior and anteroinferior plate placement in fixation of displaced midshaft clavicle fractures have comparable functional results and union rates. Superior plating has a higher secondary intervention rate. | ||
| Keywords | ||
| Anteroinferior surface; Clavicle fracture; Disabilities of the arm; shoulder; and hand; Open reduction and internal fixation; Outcomes; Plate fixation; Superior surface | ||
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