Cervical Spine Locking Plate In The Treatment Of Neer Type-2
OBJECTIVE: There is very high risk of delayed union, malunion, non-union (22-35%) and acromioclavicular joint arthritis with conservative management of fracture lateral third of clavicle. This study was done to find a new method of fixation of such fractures.

METHODS: 11 patients were operated for displaced fracture of the lateral third of the clavicle by Cervical Spine Locked Plate. The shoulder was immobilized for 3 weeks post-operatively. The patients were evaluated in clinic following operative treatment for the lateral third clavicle fractures at 6 weeks, 3 months and 6 months. All patients with more than 6 months follow-up after surgery were included. X-rays in AP projection were taken at every follow-up to look for bony union and clinical assessment was done by using the UCLA Shoulder Score at each follow-up.

RESULTS: The UCLA Shoulder Score at each follow-up showed gradual improvement in the score. At final follow-up all the fractures had united and no additional procedure like bone grafting was done.

CONCLUSION: We conclude that type-2 fracture of the lateral third of the clavicle require open reduction and can be safely fixed by a locked cervical spine plate which has not showed any complication.