Objectives: To evaluate the outcome of operatively treated unstable displaced diaphyseal clavicle fractures with anterior-inferior 2.7-mm dynamic compression plate (DCP) fixation.
Design: Retrospective review of clavicle fractures.
Setting: Level-1 trauma teaching center.
Patients/participants: One hundred twenty-nine clavicle fractures.
Intervention: An anterior-inferior approach to clavicle fractures was used with the application of a 2.7-mm DCPs.
Main outcome measurement: Radiographic assessment of healing and complication rates.
Results: One hundred twenty-five fractures healed (97%). Postoperative complications included 1 superficial wound problem, 3 deep wound problems, 5 nonunions, and 4 prominent implants requiring removal in 3.
Conclusions: Anterior-inferior placement of 2.7-mm DCPs seems safe and is associated with minimal complications.
Level of evidence: Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.