Superior versus Anteroinferior Plating of the Clavicle: A Finite Element Study

Anterorinferior plating is generally preferable, because it induces deformation modes similar to the intact clavicle and is less likely to fail during normal physiological loading (cantilever bending). Superior placement of the reconstruction plate may be recommended for a patient with a high risk of shoulder impacts (axial compression). Design improvements in the bridging area of the plate and special attention to obtain a good fixation around the fracture could reduce plate failures and provide a stiffer construct. Favre, Philippe MSc; Kloen, Peter MD, PhD; Helfet, David L MD; Werner, Clément M L MD Journal of Orthopaedic Trauma: POST AUTHOR CORRECTIONS, 03 September 2011  PDF