Clavicle Diaphyseal multifragmentary, intact segmental

Compression plate

ORIF - Compression plate

Main indication: Shortening and displacement > 2 cm

Skill: Some specialized surgical experience
Equipment: Full specialized surgical and imaging resources

Supporting indications

  • Open fractures
  • Injury to neurovascular structures.
  • Associated pathology of the shoulder girdle, scapula fractures or LSSS (floating shoulder)

Advantages

  • Less pain and quick recovery of function (early return to work)
  • In polytrauma patients in whom agressive physiotherapy and mobilization is necessary to prevent secondary complications (lung embolism, vein thrombosis, pneumonia)

Disadvantages

  • General surgical risk
  • Risk of compromising subclavicular neurovascular structures
  • Prominent hardware necessitating hardware removal
  • Potentially poor cosmetic outcome (scar)

Contraindications

  • Infection
  • Metal allergy

Legend

*Skill
Basic surgical experience, no specialized skills Basic surgical experience, no specialized skills
Some specialized surgical experience Some specialized surgical experience
Highly experienced and skilled surgeon Highly experienced and skilled surgeon
*Equipment
Basic equipment only Basic equipment only
Simple surgical and imaging resources Simple surgical and imaging resources
Full specialized surgical and imaging resources Full specialized surgical and imaging resources

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2.0 2016-12-05