Clavicle Diaphyseal wedge, intact spiral wedge

Bridge plate

ORIF - Bridge plate

Main indication: Shortening and displacement > 2 cm

Skill: Highly experienced and skilled surgeon
Equipment: Full specialized surgical and imaging resources

Supporting indications

  • Small contact of the main fragments
  • Undisplaced wedge fragment
  • Associated pathology of the shoulder girdle, scapula fractures or LSSS (floating shoulder)

Advantages

  • Less stripping of soft tissues necessary, especially for the wedge fragment
  • Less pain and quick recovery 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

Appendix

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2.0 2016-12-05