The Superior Anterior Clavicle Plate is an advanced orthopedic implant designed for the effective fixation of midshaft and distal clavicle fractures. This plate offers anatomical precontouring and a locking mechanism that provides superior stability, promotes quicker healing, and reduces complications often associated with clavicle fracture fixation.
Anatomical and Functional Benefits
The clavicle is an S-shaped bone with complex anatomy that makes fracture fixation challenging. It has a flat lateral portion and tubular midshaft, which is a frequent site of fractures. The superior anterior clavicle plate is precontoured to match the natural shape of the clavicle, available in specific left and right versions, accommodating the diverse fracture patterns seen in midshaft and distal clavicle injuries. This anatomical fit reduces the need for intraoperative bending, thereby minimizing surgery time and soft tissue disruption. The plate utilizes 3.5 mm locking screws in the shaft and 2.7 mm screws in the lateral extension, allowing for multiple screw positions and a stronger construct, especially in small distal fragments.
Enhanced Stability and Durability
Biomechanical studies have demonstrated the superior strength and durability of anterior plating compared to traditional superior plating, particularly for distal third clavicle fractures. The anterior placement redirects the forces acting on the fracture site, improving load resistance and reducing the likelihood of fixation failure. Testing on cadaveric models revealed that anterior plating withstands significantly more loading cycles and higher failure loads before breaking down, compared to superior plates. This biomechanical advantage translates into better clinical outcomes and fewer complications like nonunion or hardware failure.
Clinical Outcomes and Patient Recovery
Clinical studies confirm that the superior anterior clavicle plate provides excellent fixation for displaced lateral clavicle fractures, with patients achieving bone union typically within 6 to 12 weeks. Early return to work and full range of motion have been reported as soon as two weeks post-surgery, reflecting the stability and durability of the fixation construct. Patient-reported outcomes generally show high satisfaction rates, low disability scores, and minimal pain following fixation with this implant. Some patients may require plate removal due to prominence or hardware irritation, but such cases are relatively few.
Surgical Approach and Indications
The anterior approach to the clavicle facilitates the application of this plate. Surgical access enables the precise placement of the plate while protecting nearby neurovascular structures like the subclavian vessels and brachial plexus. The plate’s left and right designs simultaneously allow surgeons to adapt based on fracture location and morphology. Indications for use include displaced fractures of the midshaft and distal clavicle, malunions, and nonunions where a strong stable fixation is necessary to restore function and prevent deformity.
Advantages Over Traditional Fixation Techniques
Compared to other fixation methods, such as nonoperative treatment or superior plating, the superior anterior clavicle plate offers mechanical and clinical advantages. Its anatomical design and locking screw technology improve construct strength without increasing implant profile excessively, thus potentially decreasing the need for revision surgeries due to implant irritation. Studies also suggest that dual plating methods incorporating this plate may provide enhanced biomechanical stability, reducing implant removal rates and improving overall patient outcomes.
In summary, the Superior Anterior Clavicle Plate represents a modern, sophisticated solution for the fixation of midshaft and distal clavicle fractures. It combines anatomic design, biomechanical superiority, and positive clinical results, making it a preferred choice for orthopedic surgeons aiming to optimize fracture healing and restore shoulder function effectively.
Siora Surgicals Pvt. Ltd. is a leading manufacturer and supplier of a CE-certified range of orthopedic implants and instruments. Based in India, the company has established a huge base in over 50 countries. To expand its international market presence, Siora is also looking for distributors of orthopedic Implants in Brazil.
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