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Locking plate external fixation and negative pressure wound therapy for treatment of a primary infection in a closed clavicle fracture
  1. Robert M Kenyon1,
  2. David I Morrissey1,
  3. Diarmuid C Molony1,
  4. John Francis Quinlan2
  1. 1Adelaide and Meath Hospital, Dublin, Ireland
  2. 2Department of Trauma and Orthopaedics, The Adelaide and Meath Hospital Incorporating the National Childrens Hospital, Dublin, Ireland
  1. Correspondence to Robert M Kenyon, kenyonr{at}


Infection in a clavicle fracture is uncommon, but remains a challenging problem. A paucity of soft tissue coverage often combined with significant displacement and interfragmentary movement add complexity to an already difficult situation for effective infection treatment. External fixation in principle offers a means of achieving fracture stability, while the infection is being eradicated. We present the case of a closed clavicle fracture, initially treated conservatively, that presented 5 weeks later with infection. The fracture was definitively treated with external fixation using a locking plate positioned superficially to the skin, plus negative pressure wound therapy and subsequent secondary closure and antibiotic therapy. This case illustrates a novel method of treatment in this unusual presentation that was well tolerated by the patient and resulted in a good clinical outcome.

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  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.