Treatment of Displaced Lateral Clavicle Fractures Using a Locking Compression Plate With Lateral Extension (LatClav)

Technical University of Munich

Status: Completed

Conditions: Fracture, Closed, Comminuted, Healing

Treatments: Procedure: Plate osteosynthesis

Study type: Observational

Funder types: Other

Identifiers

NCT02256059

Beiromat_03

Details and patient eligibility

About

Treatment of lateral fractures of the clavicle is challenging and has been controversially discussed for a long time due to high non-union rates in non-operative treatment and high complication rates in surgical treatment. A recently developed implant was proven to ensure a biomechanically sufficient fixation of fractures leading to bony union and promising functional outcome in a small collective of patients.

Full description

Treatment of lateral fractures of the clavicle is challenging and has been controversially discussed for a long time due to high non-union rates in non-operative treatment and high complication rates in surgical treatment. A recently developed implant was proven to ensure a biomechanically sufficient fixation of fractures leading to bony union and promising functional outcome in a small collective of patients.

In this prospective study patients with dislocated fractures of the lateral clavicle (Jäger&Breitner I-III, Neer I-III) are enrolled. All patients are surgically treated using the locking compression plate (LCP) for the superior anterior clavicle (Synthes®). Functional outcome is recorded using the Munich Shoulder Questionnaire (MSQ) allowing for qualitative self-assessment of the Shoulder Pain and Disability Index (SPADI), of the Disability of the Arm, Shoulder and Hand (DASH) score and of the Constant Score. Acromioclavicular joint stability is evaluated using the Taft-Score.

Enrollment: 20 patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Dislocated fracture of the lateral clavicle
• Informed consent.

Exclusion criteria

• Patients with a history of any other pathology such as preexisting rotator cuff tear, gleno-humeral instability, glenohumeral osteoarthritis (> Samilson I), Acromioclavicular joint instability, Acromioclavicular osteoarthritis, calcifying tendonitis, biceps pathology or signs of cervical root symptoms

Trial design

20 participants in 1 patient group

Plate osteosynthesis

Description:

Patients with fracture of the lateral clavicle and indication for surgical treatment

Treatment:

Procedure: Plate osteosynthesis