{"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":1780077527904,"version":"3.54.0"},"reference-count":24,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"},{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.springernature.com\/gp\/researchers\/text-and-data-mining"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Eur J Orthop Surg Traumatol"],"DOI":"10.1007\/s00590-025-04555-3","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T14:31:09Z","timestamp":1761316269000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Combination of MIPO and WALANT procedure versus ORIF and general anesthesia in midshaft clavicle fracture: a prospective comparative cohort study"],"prefix":"10.1007","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4869-0998","authenticated-orcid":false,"given":"Meisam","family":"Jafari Kafiabadi","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5431-0539","authenticated-orcid":false,"given":"Saber","family":"Barazandeh Rad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0586-6236","authenticated-orcid":false,"given":"Farsad","family":"Biglari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4333-3126","authenticated-orcid":false,"given":"Mehrdad","family":"Sadighi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9225-1023","authenticated-orcid":false,"given":"Amir","family":"Sabaghzadeh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-5359-7134","authenticated-orcid":false,"given":"Babak","family":"Toloue Ghamari","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7676-3368","authenticated-orcid":false,"given":"Adel","family":"Ebrahimpour","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"4555_CR1","doi-asserted-by":"publisher","first-page":"155","DOI":"10.1016\/j.ijsu.2017.05.069","volume":"43","author":"B Xu","year":"2017","unstructured":"Xu B, Lin Y, Wang Z et al (2017) Is intramedullary fixation of displaced midshaft clavicle fracture superior to plate fixation? Evidence from a systematic review of discordant meta-analyses. Int J Surg 43:155\u2013162. https:\/\/doi.org\/10.1016\/j.ijsu.2017.05.069","journal-title":"Int J Surg"},{"issue":"3","key":"4555_CR2","doi-asserted-by":"publisher","first-page":"423","DOI":"10.1016\/j.jse.2011.08.053","volume":"21","author":"OA van der Meijden","year":"2012","unstructured":"van der Meijden OA, Gaskill TR, Millett PJ (2012) Treatment of clavicle fractures: current concepts review. J Shoulder Elbow Surg 21(3):423\u2013429. https:\/\/doi.org\/10.1016\/j.jse.2011.08.053","journal-title":"J Shoulder Elbow Surg"},{"issue":"8","key":"4555_CR3","doi-asserted-by":"publisher","first-page":"1577","DOI":"10.1016\/j.injury.2015.05.038","volume":"46","author":"HS Sohn","year":"2015","unstructured":"Sohn HS, Kim WJ, Shon MS (2015) Comparison between open plating versus minimally invasive plate osteosynthesis for acute displaced clavicular shaft fractures. Injury 46(8):1577\u20131584. https:\/\/doi.org\/10.1016\/j.injury.2015.05.038","journal-title":"Injury"},{"key":"4555_CR4","doi-asserted-by":"publisher","first-page":"7081032","DOI":"10.1155\/2019\/7081032","volume":"2019","author":"E Zhao","year":"2019","unstructured":"Zhao E, Zhang R, Wu D, Guo Y, Liu Q (2019) Comparison between minimally invasive plate osteosynthesis and conventional open plating for midshaft clavicle fractures: a systematic review and meta-analysis. BioMed Res Int 2019:7081032. https:\/\/doi.org\/10.1155\/2019\/7081032","journal-title":"BioMed Res Int"},{"key":"4555_CR5","doi-asserted-by":"publisher","first-page":"S12","DOI":"10.1016\/j.injury.2020.11.049","volume":"52 Suppl 2","author":"S Baertl","year":"2021","unstructured":"Baertl S, Alt V, Rupp M (2021) Surgical enhancement of fracture healing\u2014operative vs. nonoperative treatment. Injury 52 Suppl 2:S12\u2013S17. https:\/\/doi.org\/10.1016\/j.injury.2020.11.049","journal-title":"Injury"},{"issue":"1","key":"4555_CR6","doi-asserted-by":"publisher","first-page":"73","DOI":"10.1016\/j.jhsg.2022.10.003","volume":"5","author":"AM Far-Riera","year":"2023","unstructured":"Far-Riera AM, Perez-Uribarri C, Serrano MJE, Gonz\u00e1lez JMR (2023) Impact of WALANT hand surgery in a secondary care hospital in Spain. Benefits to the patient and the health system. J Hand Surg Glob Online 5(1):73\u201379. https:\/\/doi.org\/10.1016\/j.jhsg.2022.10.003","journal-title":"J Hand Surg Glob Online"},{"issue":"5","key":"4555_CR7","doi-asserted-by":"publisher","first-page":"e4285","DOI":"10.1097\/gox.0000000000004285","volume":"10","author":"TC Oakes","year":"2022","unstructured":"Oakes TC, Wong KC, Schank KJ, Haan P, Bray SM, Clarkson JHW (2022) Infection rate comparison during transition from hospital to office WALANT enabled by virtual reality. Plast Reconstr Surg Glob Open 10(5):e4285. https:\/\/doi.org\/10.1097\/gox.0000000000004285","journal-title":"Plast Reconstr Surg Glob Open"},{"issue":"2","key":"4555_CR8","doi-asserted-by":"publisher","first-page":"88","DOI":"10.14712\/23362936.2022.9","volume":"123","author":"G Georgieva","year":"2022","unstructured":"Georgieva G, Srbov B, Nikolovska B et al (2022) Walant as an optimal approach in hand surgery during pandemics. Prague Med Rep 123(2):88\u201394. https:\/\/doi.org\/10.14712\/23362936.2022.9","journal-title":"Prague Med Rep"},{"issue":"3","key":"4555_CR9","doi-asserted-by":"publisher","first-page":"499","DOI":"10.1177\/15589447221126764","volume":"19","author":"CW Long","year":"2024","unstructured":"Long CW, Wilson A, Daniels CL, Brown ME, Carreon L, Robinson L (2024) Improved resource utilization using WALANT hand surgery in adolescents. Hand 19(3):499\u2013502. https:\/\/doi.org\/10.1177\/15589447221126764","journal-title":"Hand"},{"issue":"1","key":"4555_CR10","first-page":"22","volume":"15","author":"C-Y Yin","year":"2024","unstructured":"Yin C-Y, Chiang Y-H, Huang H-K, Lo I-N, Huang Y-C, Wang J-P (2024) Wide-awake local anesthesia versus general anesthesia for clavicle fracture plating: a retrospective study. Formosan J Musculoskelet Disord 15(1):22\u201327","journal-title":"Formosan J Musculoskelet Disord"},{"issue":"1","key":"4555_CR11","doi-asserted-by":"publisher","first-page":"e12876","DOI":"10.7759\/cureus.12876","volume":"13","author":"MH Abd Hamid","year":"2021","unstructured":"Abd Hamid MH, Abdullah S, Ahmad AA et al (2021) A randomized controlled trial comparing Wide-awake local anesthesia with no tourniquet (WALANT) to general anesthesia in plating of distal radius fractures with pain and anxiety level perception. Cureus 13(1):e12876. https:\/\/doi.org\/10.7759\/cureus.12876","journal-title":"Cureus"},{"key":"4555_CR12","doi-asserted-by":"publisher","first-page":"922135","DOI":"10.3389\/fsurg.2022.922135","volume":"9","author":"TY Tu","year":"2022","unstructured":"Tu TY, Hsu CY, Lin PC, Chen CY (2022) Wide-awake local anesthesia with no tourniquet versus general anesthesia for the plating of distal radius fracture: a systematic review and meta-analysis. Front Surg 9:922135. https:\/\/doi.org\/10.3389\/fsurg.2022.922135","journal-title":"Front Surg"},{"issue":"1","key":"4555_CR13","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1186\/s13018-020-02018-5","volume":"15","author":"C Marazzi","year":"2020","unstructured":"Marazzi C, Wittauer M, Hirschmann MT, Testa EA (2020) Minimally invasive plate osteosynthesis (MIPO) versus open reduction and internal fixation (ORIF) in the treatment of distal fibula Danis\u2013Weber types B and C fractures. J Orthop Surg Res 15(1):491. https:\/\/doi.org\/10.1186\/s13018-020-02018-5","journal-title":"J Orthop Surg Res"},{"issue":"7","key":"4555_CR14","doi-asserted-by":"publisher","first-page":"1359","DOI":"10.2106\/00004623-200407000-00002","volume":"86","author":"CM Robinson","year":"2004","unstructured":"Robinson CM, Court-Brown CM, McQueen MM, Wakefield AE (2004) Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture. J Bone Jt Surg Am 86(7):1359\u20131365. https:\/\/doi.org\/10.2106\/00004623-200407000-00002","journal-title":"J Bone Jt Surg Am"},{"issue":"5","key":"4555_CR15","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1016\/j.ajic.2008.03.002","volume":"36","author":"TC Horan","year":"2008","unstructured":"Horan TC, Andrus M, Dudeck MA (2008) CDC\/NHSN surveillance definition of health care-associated infection and criteria for specific types of infections in the acute care setting. Am J Infect Control 36(5):309\u2013332. https:\/\/doi.org\/10.1016\/j.ajic.2008.03.002","journal-title":"Am J Infect Control"},{"key":"4555_CR16","doi-asserted-by":"publisher","first-page":"110746","DOI":"10.1016\/j.injury.2023.04.033","volume":"54 Suppl 6","author":"F Machado do Amaral","year":"2023","unstructured":"Machado do Amaral F, Angeli Malavolta E, Brandao Andrade ESF et al (2023) Comparative study of patients with midshaft clavicle fracture fixed with a locked plate via an open versus percutaneous approach. Injury. 54 Suppl 6:110746. https:\/\/doi.org\/10.1016\/j.injury.2023.04.033","journal-title":"Injury."},{"key":"4555_CR17","doi-asserted-by":"publisher","first-page":"257","DOI":"10.1016\/j.jseint.2023.10.007","volume":"8","author":"V La Banca","year":"2023","unstructured":"La Banca V, Lima GHV, Vigano AVP et al (2023) Complications and clinical outcomes with minimally invasive plate osteosynthesis (MIPO) technique for midshaft clavicle fractures: a systematic review and meta-analysis. JSES Int 8:257\u2013267","journal-title":"JSES Int"},{"issue":"10","key":"4555_CR18","doi-asserted-by":"publisher","first-page":"1001","DOI":"10.2217\/cer-2018-0042","volume":"7","author":"JC Zang","year":"2018","unstructured":"Zang JC, Du JJ, Li C, Wang JB, Ma XL (2018) Comparison between minimally invasive plate osteosynthesis and open plating for proximal humeral fractures: a meta-analysis. J Comp Eff Res 7(10):1001\u20131008. https:\/\/doi.org\/10.2217\/cer-2018-0042","journal-title":"J Comp Eff Res"},{"issue":"1","key":"4555_CR19","doi-asserted-by":"publisher","first-page":"550","DOI":"10.1186\/s12891-019-2936-y","volume":"20","author":"F Li","year":"2019","unstructured":"Li F, Liu X, Wang F et al (2019) Comparison between minimally invasive plate osteosynthesis and open reduction-internal fixation for proximal humeral fractures: a meta-analysis based on 1050 individuals. BMC Musculoskelet Disord 20(1):550. https:\/\/doi.org\/10.1186\/s12891-019-2936-y","journal-title":"BMC Musculoskelet Disord"},{"issue":"14","key":"4555_CR20","doi-asserted-by":"publisher","first-page":"1159","DOI":"10.2106\/JBJS.16.01184","volume":"99","author":"MJS Tamaoki","year":"2017","unstructured":"Tamaoki MJS, Matsunaga FT, da Costa ARF, Netto NA, Matsumoto MH, Belloti JC (2017) Treatment of displaced midshaft clavicle fractures: figure-of-eight harness versus anterior plate osteosynthesis: a randomized controlled trial. J Bone Jt Surg 99(14):1159\u20131165","journal-title":"J Bone Jt Surg"},{"key":"4555_CR21","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1055\/s-0040-1714226","volume":"56","author":"AF Mendes Junior","year":"2021","unstructured":"Mendes Junior AF, Mota Neto Jd, Oppe IG, Simoni LFd, Giordano V, Labronici PJ (2021) Surgical treatment of comminuted midshaft clavicle fracture by minimally invasive technique: description and preliminary results. Rev Bras Ortop 56:490\u2013496","journal-title":"Rev Bras Ortop"},{"issue":"5","key":"4555_CR22","first-page":"290","volume":"5","author":"A Andalib","year":"2017","unstructured":"Andalib A, Sheikhbahaei E, Andalib Z, Tahririan MA (2017) Effectiveness of minimally invasive plate osteosynthesis (MIPO) on comminuted tibial or femoral fractures. Arch Bone Jt Surg 5(5):290\u2013295","journal-title":"Arch Bone Jt Surg"},{"issue":"2","key":"4555_CR23","doi-asserted-by":"publisher","first-page":"557","DOI":"10.1016\/j.injury.2022.11.063","volume":"54","author":"MJ Kafiabadi","year":"2023","unstructured":"Kafiabadi MJ, Sabaghzadeh A, Biglari F, Sadighi M, Ebrahimpour A (2023) Effects of fixation of clavicle fracture using wide-awake local anesthesia no tourniquet (WALANT) technique on intra-operative bleeding volume, surgical duration, and post-operatively visual analog scale (VAS); a case series study. Injury 54(2):557\u2013560. https:\/\/doi.org\/10.1016\/j.injury.2022.11.063","journal-title":"Injury"},{"issue":"11","key":"4555_CR24","doi-asserted-by":"publisher","first-page":"2319","DOI":"10.1016\/j.jse.2020.03.003","volume":"29","author":"AA Ahmad","year":"2020","unstructured":"Ahmad AA, Ubaidah Mustapa Kamal MA, Ruslan SR, Abdullah S, Ahmad AR (2020) Plating of clavicle fracture using the wide-awake technique. J Shoulder Elbow Surg 29(11):2319\u20132325. https:\/\/doi.org\/10.1016\/j.jse.2020.03.003","journal-title":"J Shoulder Elbow Surg"}],"container-title":["European Journal of Orthopaedic Surgery &amp; Traumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04555-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00590-025-04555-3","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00590-025-04555-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,29]],"date-time":"2025-12-29T13:41:14Z","timestamp":1767015674000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00590-025-04555-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,24]]},"references-count":24,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["4555"],"URL":"https:\/\/doi.org\/10.1007\/s00590-025-04555-3","relation":{},"ISSN":["1432-1068"],"issn-type":[{"value":"1432-1068","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,24]]},"assertion":[{"value":"16 June 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 October 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 October 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no competing interests.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"In this study, handwritten informed consent was obtained from all participants. Each participant received a detailed explanation of the study\u2019s objectives, methodologies, potential risks, and benefits, ensuring their participation was voluntary and fully informed. The documented consents are verifiable evidence of the study\u2019s compliance with all relevant ethical standards and institutional guidelines.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Human ethics and consent to participate"}},{"value":"All procedures performed in this study involving human participants were by the ethical standards of the Institutional and\/or National Research Committee and with the Helsinki Declaration and its later amendments or comparable ethical standards and were approved by the Research Ethics Committee of the Shahid Beheshti University of Medical Sciences (approval code: IR.SBMU.MSP.REC.1402.366).","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"All participants provided written informed consent to publish anonymized data and any accompanying images from this study.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that this content is original, and only Grammarly was used to enhance its quality, clarity, and text refinement. After using this tool, the authors reviewed and edited the content as needed and took full responsibility for the publication\u2019s content.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declaration of using AI"}}],"article-number":"440"}}