Clavicle Diaphyseal simple, oblique

Lag screw with neutralization plate

ORIF - Lag screw with neutralization plate

Main indication: Shortening and displacement > 2 cm

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

Indication is a fracture with shortening greater than 2 cm. The choice between compression plate with lag screw and lag screw with neutralization plate is surgeon's preference. The lag screw provides absolute stability.

Supporting indications

  • High demand patients
  • Associated pathology of the shoulder girdle, scapula fractures or LSSS (floating shoulder)

Advantages

  • Less pain and quick return of function (early return to work)

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