Journal of orthopaedic surgery (Hong Kong)
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J Orthop Surg (Hong Kong) · Jan 2019
Comparative analysis of functional outcome of anatomical precontoured locking plate versus reconstruction plate in the management of displaced midshaft clavicular fractures.
For the fixation of displaced midshaft clavicular fractures, different plates are available, each with its specific pros and cons. The ideal plating choice remains subject to ongoing discussion. Reconstruction plates are cheap and easily bendable, but their strength and stability have been questioned. The anatomical precontoured locking plates provide better stability and strength compared with the reconstruction plate. ⋯ Surgical management of fresh middle third clavicle fractures with anatomical precontoured locking plate provided stable fixation, faster union, and better functional outcome compared with the reconstruction plating. Anatomical plate had the advantage of less soft tissue stripping, and there is less need for lag screw fixation of the plate for fracture stability as precontoured plate itself provides a rigid construct.