Vol. 11, Issue 4 (2025)

Introduction: The treatment of displaced fracture lateral end of clavicle always poses a great challenge to the orthopaedic surgeons globally. The incidence of hardware failure and non-union is high among such fractures following fixation. A novel alternative method to counter these drawbacks is currently the ‘need of the hour’.
Objective: The objective of this study is to assess the fracture union rates and functional outcome following the fixation of displaced lateral end clavicle fractures using transosseous FiberTape repair method. 
Methods: 25 cases done in LLM Hospital over 6 years with completely displaced fracture of lateral end of clavicle with a minimum follow up of 6 months were included in this study. 
Patients were positioned in beach chair. Shoulder strap incision made. A 4mm driil hole made in clavicle 2cm medial to fracture. FiberTape passed under coracoid, one end passed through clavicle and other end taken through acromioclavicular ligament and tied to each other.
Xrays taken immediate postoperative period, after 1 month and 3 months. Average follow up is around 2 years postoperatively.
The fracture union assessed by clinical examination and follow-up Xrays. 
The fuctional outcome of the patients were assessed using Short Musuloskeletal functional assessment and Quick disabilities of arm, shoulder and hand score (QUICK DASH Score).
Results: The study showed 100 percent union rates and near normal functional outcome in all patients
Conclusion: The transosseous FiberTape repair for displaced lateral end of clavicular fracture is a novel alternative for hardware fixation, as the former is having high efficacy and economical advantage. Moreover, the method avoids re-surgery of hardware removal and functionally superior with 100 percent union rates.
No similar study is reported in literature.