{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T10:10:37Z","timestamp":1774951837086,"version":"3.50.1"},"reference-count":20,"publisher":"Springer Science and Business Media LLC","issue":"2","license":[{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"},{"start":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T00:00:00Z","timestamp":1749772800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/deed.de"}],"funder":[{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Oper Orthop Traumatol"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of this surgical technique is fracture healing with anatomical alignment and less implant irritation due to smaller, low-profile plates. Equal to superior stability is provided compared to single superior- or anterior-based plates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Indications<\/jats:title>\n                    <jats:p>The same general indications for surgical stabilization of clavicle fractures apply for low-profile double plating and include fracture displacement of one or more shaft width, shortening of more than 1\u202fcm in length, and patients with high physical activity levels. Double plating is especially suitable for fractures in the midportion of the clavicle.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Contraindications<\/jats:title>\n                    <jats:p>Fractures in the far lateral portion of the clavicle due to physiological thinning of the clavicle potentially causing problems with screw purchase of screws fitted in the anterior plate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Surgical technique<\/jats:title>\n                    <jats:p>A\u00a02.0\u202fmm low-profile mini plate is used on the superior and a\u00a02.4 or 2.7\u202fmm on the anterior surface of the clavicle. The plates are fixated with a\u00a0minimum of two cortical or locking screws on each side of the fracture in each plate. A\u00a0lag screw can be used if absolute stability can be obtained in simple fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Postoperative management<\/jats:title>\n                    <jats:p>A\u00a0standard functional postoperative regime can be followed after plate fixation with free mobilization up to 90\u00b0 without weight bearing for 6\u00a0weeks. Afterwards free range of motion and weight bearing are allowed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A\u00a0biomechanical study, meta-analysis, and retrospective analysis have shown that low profile double plating offers equal to superior stability, lower rates of implant irritation and subsequent removal compared to conventional single plating with equal healing potential.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00064-025-00903-y","type":"journal-article","created":{"date-parts":[[2025,6,13]],"date-time":"2025-06-13T12:14:10Z","timestamp":1749816850000},"page":"131-136","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Surgical technique of low-profile dual plating for midshaft clavicle fractures","Operative Technik der Low-Profile-Doppelverplattung bei Frakturen der mittleren Klavikula"],"prefix":"10.1007","volume":"38","author":[{"given":"Bryan J. 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All studies mentioned were in accordance with the ethical standards indicated in each case.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}]}}