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The affected patients are prone to lung dysfunction and multiple organ failure. A multi-center, retrospective analysis of patient records documented in the TraumaRegister DGU was performed to assess the influence of surgical stabilization of clavicle fractures in patients with thoracic trauma. A total of 3,209 patients were included in the analysis. In 1362 patients (42%) the clavicle fracture was treated operatively after 7.1\u2009\u00b1\u20095.3\u00a0days. Surgically treated patients had a significant reduction in lung failure (p\u2009=\u20090.013, OR\u2009=\u20090.74), multiple organ failure (p\u2009=\u20090.001, OR\u2009=\u20090.64), intubation time (p\u2009=\u20090.004; \u22121.81\u00a0days) and length of hospital stay (p\u2009=\u20090.014; \u22121.51\u00a0days) compared to non-operative treatment. Moreover, surgical fixation of the clavicle within five days following hospital admission significantly reduced the rates of lung failure (p\u2009=\u20090.01, OR\u2009=\u20090.62), multiple organ failure (p\u2009=\u20090.01, OR\u2009=\u20090.59) and length of hospital stay (p\u2009=\u20090.01; \u22122.1\u00a0days). Based on our results, multiply-injured patients with thoracic trauma and concomitant clavicle fracture may benefit significantly from surgical stabilization of a clavicle fracture, especially when surgery is performed within the first five days after hospital admission.<\/jats:p>","DOI":"10.1038\/s41598-021-02771-5","type":"journal-article","created":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T11:04:42Z","timestamp":1638356682000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Influence of surgical stabilization of clavicle fractures in multiply-injured patients with thoracic trauma"],"prefix":"10.1038","volume":"11","author":[{"given":"Helge","family":"Eberbach","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rolf","family":"Lefering","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sven","family":"Hager","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Schumm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa","family":"Bode","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Jaeger","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk","family":"Maier","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johannes","family":"Kalbhenn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thorsten","family":"Hammer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hagen","family":"Schmal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Bayer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,12,1]]},"reference":[{"key":"2771_CR1","doi-asserted-by":"publisher","first-page":"239","DOI":"10.1007\/s00068-005-2033-9","volume":"31","author":"V V\u00e9csei","year":"2005","unstructured":"V\u00e9csei, V., Arbes, S., Aldrian, S. & Nau, T. 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