Clinical and radiological outcome of anterior inferior plating of middle third fracture of clavicle

Authors

Keywords:

Anterior inferior plating, Clavicle fracture, Reconstruction plate

Abstract

Introduction: Various techniques have been documented for managing fractures of the middle third of the clavicle. This prospective study aimed to assess the outcomes of anterior-inferior plating using a 3.5-mm reconstruction locking plate for middle-third clavicle fractures.

Method: Sixty-eight patients presenting with middle-third clavicle fractures underwent treatment via anterior-inferior plating. Surgical indications included complete displacement, severe comminution, and significant shortening of the clavicle (greater than two cm).

Result: The mean duration for fracture union was 14 weeks . At the most recent follow-up, all patients had resumed their pre-injury activity levels. No cases required plate removal due to implant-related complications till final follow-up.

Conclusion: Anterior-inferior plating is an effective treatment modality for middle-third clavicle fractures, offering stable fixation with minimal complications. This technique mitigates the risk to vital structures beneath the clavicle and is associated with a low incidence of implant prominence issues.

Author Biographies

Subash Chandra Jha, Nepal Medical College & Teaching Hospital, Kathmandu, Nepal

Associate Professor, Department of Orthopedics

Shreel Koirala, Sikkim Manipal Institute of Medical Sciences, Tadong, East Sikkim, Sikkim, India

Assistant Professor, Department of Orthopaedics, Central Referral Hospital

Shambhu Sah, National Academy of Medical Sciences, Kathmandu, Nepal

Assistant Professor, Department of Orthopaedics, Koshi Zonal Hospital

https://doi.org/10.3126/jpahs.v11i3.80179

Downloads

Published

2025-06-19

How to Cite

Jha, S. C., Koirala, S., & Sah, S. (2025). Clinical and radiological outcome of anterior inferior plating of middle third fracture of clavicle. Journal of Patan Academy of Health Sciences, 11(3), 14–18. Retrieved from https://jpahs.edu.np/index.php/jpahs/article/view/396