{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T17:58:47Z","timestamp":1780077527643,"version":"3.54.0"},"reference-count":29,"publisher":"Springer Science and Business Media LLC","issue":"11","license":[{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T00:00:00Z","timestamp":1724716800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"University of Luzern"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n                <jats:title>Hintergrund<\/jats:title>\n                <jats:p>Klavikulafrakturen geh\u00f6ren zu den h\u00e4ufigsten Verletzungen des Schulterg\u00fcrtels. Nichtdislozierte Frakturen werden i.\u202fAllg. konservativ behandelt, w\u00e4hrend dislozierte Frakturen eine chirurgische Versorgung erfordern. Hierf\u00fcr stehen verschiedene Implantate und Operationstechniken mit zuverl\u00e4ssigen Ergebnissen zur Verf\u00fcgung. Hauptnachteil sind die h\u00e4ufigen Materialirritationen mit entsprechend hohen Zweiteingriffsraten zur Materialentfernung.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ziel der Arbeit<\/jats:title>\n                <jats:p>Es werden die verschiedenen Operationstechniken f\u00fcr Klavikulaschaftfrakturen mit ihren spezifischen Anwendungsgebieten sowie Vor- und Nachteilen vorgestellt. Diese \u00dcbersicht bietet eine Entscheidungshilfe, welche Operationstechnik aufgrund der jeweiligen morphologischen Frakturmerkmale am besten geeignet ist. Dar\u00fcber hinaus wird ein \u00dcberblick \u00fcber die aktuellen Forschungsaktivit\u00e4ten gegeben. Ein besonderer Schwerpunkt liegt auf neuen Implantaten, die dazu beitragen k\u00f6nnten, Implantatirritationen zu verringern.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnisse und Schlussfolgerungen<\/jats:title>\n                <jats:p>Die offene superiore und die anteroinferiore Plattenosteosynthese zeigen jeweils \u00e4hnliche zuverl\u00e4ssige Ergebnisse. Die Technik der minimalinvasiven Plattenosteosynthese (MIPO) bietet eine Alternative f\u00fcr multifragment\u00e4re Frakturen; hier weist sie im Vergleich zum offenen Verfahren eine geringere Komplikationsrate auf. Die Doppelplattenosteosynthese mit Minifragmentplatten erzielt vielversprechende Ergebnisse in Bezug auf die implantatbedingten Irritationen. Gr\u00f6\u00dfere prospektive Studien stehen noch aus. Die Marknagelung ist eine gute Alternative, v.\u202fa., wenn ohnehin eine Materialentfernung geplant ist, z.\u202fB. im p\u00e4diatrischen Setting.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00113-024-01470-w","type":"journal-article","created":{"date-parts":[[2024,8,27]],"date-time":"2024-08-27T10:03:17Z","timestamp":1724752997000},"page":"769-775","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Operative Zugangswege und Implantatwahl im Bereich des Klavikulaschafts","Surgical access route and choice of implant in the region of the clavicle shaft"],"prefix":"10.1007","volume":"127","author":[{"given":"Yannic","family":"Lecoultre","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bryan J. M.","family":"van de Wall","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Frank J. 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