{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:50:44Z","timestamp":1792086644232,"version":"4.4.0"},"reference-count":16,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T00:00:00Z","timestamp":1772582400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Trauma Emerg Surg"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Implant related irritation and subsequent removal are one of the main disadvantages of clavicle plate osteosynthesis. 2.7\u00a0mm VA-LCP clavicle plates with a lower profile were introduced in recent years, with the aim to improve fit and reduce plate prominence.<\/jats:p>\n                    <jats:p>This study aims to investigate whether this leads to a lower implant removal rate compared to the older 3.5 mm LCP clavicle plates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>All patients that underwent single-plate osteosynthesis for midshaft clavicle fractures between 2019 and 2024 in a Swiss level I trauma-center were included. Patients were categorized into two treatment groups: DePuy Synthes 3.5 mm LCP clavicle plates or DePuy Synthes 2.7 mm VA-LCP clavicle plates. Treatment groups were compared regarding healing, complications, and removal rate.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      101 patients were included, 54 with a 2.7 mm VA-LCP plate, and 47 with a 3.5 mm LCP plate. There were no significant differences in implant removal due to hardware irritation (44% versus 49%), overall reintervention rate (46.3% versus 53.2%,\n                      <jats:italic>p<\/jats:italic>\n                      = 0.49), infection (0% versus 4.3%\n                      <jats:italic>p<\/jats:italic>\n                      = 0.21), and refractures (1.9% versus 6.4%,\n                      <jats:italic>p<\/jats:italic>\n                      =0.34). All fractures healed in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Newer 2.7 mm VA-LCP clavicle single plating shows similar results in terms of complication and healing rates compared to older 3.5 mm LCP plating. Despite the design aiming for reduced plate-prominence, it does not demonstrate a significant reduction in removal rates in this study. Further studies are needed to ascertain the generalizability of results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-026-03110-x","type":"journal-article","created":{"date-parts":[[2026,3,4]],"date-time":"2026-03-04T11:15:08Z","timestamp":1772622908000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Low-profile 2.7\u00a0mm VA-LCP plates vs. 3.5\u00a0mm LCP plates for midshaft clavicle osteosynthesis: a retrospective comparison"],"prefix":"10.1007","volume":"52","author":[{"given":"D.","family":"Brun","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2291-8272","authenticated-orcid":false,"given":"Y.","family":"Lecoultre","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1882-8626","authenticated-orcid":false,"given":"B. J. 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