{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T17:50:45Z","timestamp":1792086645452,"version":"4.4.0"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T00:00:00Z","timestamp":1777248000000},"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>Introduction<\/jats:title>\n                    <jats:p>Hook plates remain controversial in the management of lateral clavicle fractures despite their biomechanical advantages. Concerns include implant-related complications, subacromial irritation, and the need for routine implant removal. The aim of this study was to compare operative efficiency and surgical burden of hook plate fixation with locking plate fixation in lateral clavicle fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective cohort analysis was conducted at a single tertiary trauma center between January 1, 2016, and December 31, 2024. Surgically treated lateral clavicle fractures were identified. Propensity score matching was performed based on age, sex, and AO fracture classification to reduce confounding, and matched pairs were compared between hook plate fixation (Group HP) and locking plate fixation (Group LCP). Outcome measures included operative time, complications, implant removal, radiographic callus formation, and refracture rates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 101 lateral clavicle fractures were identified. After propensity score matching, 44 matched pairs (Group HP vs. Group LCP) were analyzed, with comparable baseline characteristics between groups. Operative time was significantly shorter in Group HP (77.8 \u00b1 28.4 vs. 93.5 \u00b1 30.2 min, p = 0.018). Complication rates were higher in Group HP but did not reach statistical significance (18.2% vs. 4.5%, p = 0.093). Implant removal was performed more frequently in Group HP (100% vs. 25%, p &lt; 0.001), although removal procedures were shorter (37.7 \u00b1 21.5 vs. 65.7 \u00b1 40.3 min, p = 0.003). Refracture rates after implant removal did not differ between groups, and no significant difference in radiographic callus formation was observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In this propensity score\u2013matched cohort, hook plate fixation was associated with shorter primary operative time but required routine implant removal, resulting in increased cumulative operative exposure. No significant differences in complications or radiographic callus formation were observed. Hook plates may be a useful option in selected fractures, but the need for implant removal must be considered. Further studies including functional outcomes are needed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of evidence<\/jats:title>\n                    <jats:p>Level III, Retrospective comparative study.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1007\/s00068-026-03201-9","type":"journal-article","created":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T10:12:05Z","timestamp":1777284725000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Hook plate versus locking plate fixation in lateral clavicle fractures: operative efficiency and cumulative surgical burden in a propensity score\u2013matched cohort study"],"prefix":"10.1007","volume":"52","author":[{"given":"D\u00e9sir\u00e9e","family":"Schibler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle Antonia","family":"Hinkelmann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Flurina","family":"Frei","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hans-Christoph","family":"Pape","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florin","family":"Allemann","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christiane","family":"Barthel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,4,27]]},"reference":[{"issue":"7","key":"3201_CR1","first-page":"2221","volume":"53","author":"A Panagopoulos","year":"2022","unstructured":"Panagopoulos A, Tatani I, Tsoumpos P. 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