THE OUTCOMES OF MINIMALLY INVASIVE PLATE OSTEOSYNTHESIS IN THE TREATMENT OF MIDSHAFT CLAVICLE FRACTURE
Main Article Content
Abstract
Background: Clavicle fractures are among the most common fractures of the upper extremity. Open reduction and internal fixation have demonstrated earlier fracture union and a lower rate of nonunion compared with conservative treatment. However, conventional open surgery with a long incision is associated with certain complications. Minimally invasive locking plate osteosynthesis (MIPO) can mitigate these complication rates due to smaller incisions, less soft-tissue disruption, and better preservation of periosteal blood supply. Objectives: To evaluate the outcomes of minimally invasive locking plate osteosynthesis under fluoroscopic guidance in the treatment of midshaft clavicle fractures. Materials and methods: A prospective cross-sectional descriptive study was conducted on 15 patients with closed midshaft clavicle fractures. All patients underwent MIPO fixation using locking plates between February 2025 and December 2025. Results: The mean age was 39.7 ± 11.3 years. The average incision length was 2.5 ± 0.5 cm. All patients achieved solid bone union at 6 months postoperatively. The mean Constant-Murley score was 86.5 ± 5.8, indicating good functional recovery. Conclusion: Minimally invasive locking plate osteosynthesis under fluoroscopic guidance is a safe and effective technique. The MIPO technique preserves the periosteal blood supply is critical for maximizing osteogenesis and ensuring optimal cosmetic outcomes.
Keywords
Midshaft clavicle fracture, minimally invasive surgery, locking plate
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