The role of clavicle hook plate in fracture lateral end of clavicle

• Author Details:   
• Abhay Manchanda
• Ashok Nagla
• Anand Gupta
• Noor Arshad
• Viral Patel

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Background: Fracture of lateral end clavicle constitutes merely 15% of clavicle fracture, only a third of these fractures are displaced (Neer’s Type 2/Edinburgh Type 3B1).⁽¹⁾ No single treatment technique has been hailed as the most preferred technique to manage fracture lateral end clavicle, yielding consistently good union, with least complications.
Objective: This initial study attempts to evaluate the role of Clavicle Hook Plate, in the treatment of lateral end clavicle fractures, whether it promises to be the most preferred technique. 
Material and Methods: To evaluate the results and long term effects in use of this plate we performed a retrospective analysis with a mean follow up of 24 months (2 years) of 16 consecutive patients with acute displaced lateral clavicle fractures, treated with the clavicle hook plate.
Results: Our short term results in all patients were good to excellent. None underwent non- union. Impingement symptoms were detected in 3 patients, our 2 patients had skin issues and 1 had significant infection, warranting premature implant removal. Sixteen patients were re-evaluated at a mean follow-up period of 2 years. The Constant-Murley score was 97 and the DASH score was 3.5.
Conclusions: Clavicle hook plate presents as a reasonably good primary treatment choice in treating the acute displaced lateral clavicle fractures. Proper selection of patients with good skin conditions and infection control are essential, in this part of the world.