Case series reports outcomes for contoured biplanar plate fixation in medial clavicle fracturesSmall study reports positive outcomes for new clavicle fracture surgery in five patients

This surgical technique description with case series results reports on 5 young patients with high functional demands who sustained unstable and displaced medial clavicle fractures. All patients underwent surgical treatment with a contoured biplanar low profile angle stable implant. No comparator group was included in this uncontrolled design.

At an average follow-up of 74 months, all 5 patients reported being very satisfied. The mean Constant-Murley score was 91 points, and the mean Quick DASH score was 3%. Notably, no patient required implant removal during the follow-up period. Safety and tolerability data were not reported.

Key limitations include the very small sample size of only 5 patients, the absence of a control or comparator group, and the lack of randomization or blinding. The study design provides only observational associations; no causal inferences about efficacy can be made. Funding and conflicts of interest were not reported.

This report describes a surgical technique and provides preliminary outcome data from a highly selected patient group. The practice relevance is limited to demonstrating technical feasibility and early outcomes in this specific context. The evidence certainty is very low, and results cannot be generalized or used to establish efficacy or safety compared to other treatment options. Long-term outcomes beyond the reported follow-up are unknown.