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Aim of the study: The aim of the study is to prospective analysis of functional and radiological outcome in precontoured locking plate fixation for displaced lateral end of clavicle fractures in terms of union, complications and functional outcome. Materials and methods: In this prospective study 20 patients (15 male, 5 female) with a displaced lateral end of clavicle fractures (Neer type II) were evaluated with a mean follow –up of 11 months. Analysis included functional and subjective outcome, radiological outcome and complications. Results: All patients achieved radiological union within 9–13 weeks (mean 11.35 weeks). Full range of motion achieved in most cases within 6 weeks. The mean UCLA score was 31.55 (range 27–35). At final follow-up radiographs showed mean coracoclavicular distance of 8.6mm (range from 7.4mm to 10.6mm) on the affected shoulder and 8.27mm (range from 7.4mm to 10.7mm) on the unaffected shoulder. No major complications were encountered intraoperatively. Three patients had postoperative complications: one patient required plate removal, because of a deep infection, one superficial infection treated with oral antibiotics alone, shoulder stiffness one case because of an improper physiotherapy. Conclusions: In this study, use of the precontoured locking plate yielded excellent results in the treatment of this difficult fracture. In particular, patients acquired full range of motion within 6 weeks, reflecting the stability of the osteosynthesis achieved with this implant.

A study on functional and radiological outcome in precontoured locking plate fixation for displaced lateral end of clavicle fractures