{"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":1780077527932,"version":"3.54.0"},"reference-count":31,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Z Orthop Unfall"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective To compare the difference between MIPO and IMN methods in the treatment of displaced clavicular mid-shaft fractures.<\/jats:p><jats:p>\n          Methods A total 163 patients were consecutively enrolled and randomly divided into the MIPO group or the IMN group. Clinical characteristics and outcomes including age, gender, causes of fractures, and AO\/OTA type as well as hospitalization time, healing time, and postoperative complications were analyzed. Constant-Murley scores and DASH scores were used for assessment of shoulder joint and upper extremity function, respectively.<\/jats:p><jats:p>\n          Results In this study, 82 cases received MIPO and 81 cases received IMN. The mean operation time, mean bleeding volume, mean hospitalization time, and mean healing time showed no significant difference between the MIPO and IMN groups. At 3 months after surgery, Constant-Murley scores were significantly higher and DASH scores were significantly lower in the MIPO group than the IMN group. No significant difference was observed for both indexes at 6 months. The fracture nonunion rate was significantly lower in the MIPO group. No significant difference was found in other complications.<\/jats:p><jats:p>\n          Conclusion Both methods were effective for the treatment of displaced clavicular mid-shaft fractures. However, the MIPO method might be better for recovery of shoulder and upper extremity function in the short term and might have a lower nonunion rate.<\/jats:p>","DOI":"10.1055\/a-1008-9943","type":"journal-article","created":{"date-parts":[[2019,11,20]],"date-time":"2019-11-20T10:09:13Z","timestamp":1574244553000},"page":"604-610","source":"Crossref","is-referenced-by-count":2,"title":["Intramedullary Nailing and Minimally Invasive Percutaneous Plate Osteosynthesis in Treatment of Displaced Clavicular Mid-shaft Fractures: A Prospective Study"],"prefix":"10.1055","volume":"158","author":[{"given":"Hang","family":"Yuan","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, Hangzhou, Zhejiang Province, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, People\u02bcs Liberation Army 903 Hospital, Hangzhou, Zhejiang Province, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Zheng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, People\u02bcs Liberation Army 903 Hospital, Hangzhou, Zhejiang Province, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yonghong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics, Zhejiang Hospital, Hangzhou, Zhejiang Province, Hangzhou, China"},{"name":"Department of Orthopedics, People\u02bcs Liberation Army 903 Hospital, Hangzhou, Zhejiang Province, Hangzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2019,11,19]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1302\/0301-620X.79B4.0790537","article-title":"Closed treatment of displaced middle-third fractures of the clavicle gives poor results","volume":"79","author":"J M Hill","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1097\/MEJ.0b013e3283574d82","article-title":"The relationship between trauma mechanism, fracture type, and treatment of midshaft clavicular fractures","volume":"20","author":"S A Stegeman","year":"2013","journal-title":"Eur J Emerg Med"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1016\/j.injury.2013.01.004","article-title":"Approach to radial nerve palsy caused by humerus shaft fracture: is primary exploration necessary?","volume":"44","author":"A V Korompilias","year":"2013","journal-title":"Injury"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"e1057","DOI":"10.1097\/MD.0000000000001057","article-title":"Surgical Versus Conservative Treatments for Displaced Midshaft Clavicular Fractures: A Systematic Review of Overlapping Meta-Analyses","volume":"94","author":"J G Zhao","year":"2015","journal-title":"Medicine 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and extrinsic risk factors for nonunion after nonoperative treatment of midshaft clavicle fractures","volume":"101","author":"W Liu","year":"2015","journal-title":"Orthop Traumatol Surg Res"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"1546","DOI":"10.2106\/JBJS.J.01999","article-title":"Sling compared with plate osteosynthesis for treatment of displaced midshaft clavicular fractures: a randomized clinical trial","volume":"94","author":"K J Virtanen","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative Versus Nonoperative Care of Displaced Midshaft Clavicular Fractures: A Meta-Analysis of Randomized Clinical Trials","volume":"94","author":"R C Mckee","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s00402-011-1456-5","article-title":"Systematic review of the complications of plate fixation of clavicle fractures","volume":"132","author":"F JG Wijdicks","year":"2012","journal-title":"Arch Orthop Trauma Surg"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"56","DOI":"10.1097\/BOT.0b013e318250f041","article-title":"Problems, tricks, and pearls in intramedullary nailing of proximal third tibial fractures","volume":"27","author":"F A Liporace","year":"2013","journal-title":"J Orthop Trauma"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"1175","DOI":"10.1016\/j.injury.2017.03.027","article-title":"Clinical comparison between open plating and minimally invasive plate osteosynthesis for displaced proximal humeral fractures: A prospective randomized controlled trial","volume":"48","author":"H S Sohn","year":"2017","journal-title":"Injury"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"2170","DOI":"10.1016\/j.injury.2015.08.032","article-title":"The safety and feasibility of minimally invasive plate osteosynthesis (MIPO) on the 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Reduction and Internal Fixation","volume":"32","author":"J W Kim","year":"2018","journal-title":"J Orthop Trauma"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"647","DOI":"10.3889\/oamjms.2016.136","article-title":"Midshaft Clavicular Fractures \u2013 Osteosynthesis with Minimally Invasive Technique","volume":"4","author":"T A Al-Sadek","year":"2016","journal-title":"Open Access Maced J Med Sc"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"1577","DOI":"10.1016\/j.injury.2015.05.038","article-title":"Comparison between open plating versus minimally invasive plate osteosynthesis for acute displaced clavicular shaft fractures","volume":"46","author":"H S Sohn","year":"2015","journal-title":"Injury"},{"key":"ref23","first-page":"1","article-title":"Prospective randomized study comparing results of fixation for clavicular shaft fractures with intramedullary nail or locking compression plate","volume":"41","author":"M Calbiyik","year":"2016","journal-title":"Int Orthop"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1016\/j.injury.2013.10.024","article-title":"Intramedullary nailing versus plating for extra-articular distal tibial metaphyseal fracture: a systematic review and meta-analysis","volume":"45","author":"X H Xue","year":"2014","journal-title":"Injury"},{"key":"ref25","doi-asserted-by":"crossref","first-page":"e237","DOI":"10.1097\/BOT.0000000000001154","article-title":"Stable Fixation and Immediate Weight-bearing Following Combined Retrograde Intramedullary Nailing (IMN) and Open Reduction Internal Fixation(ORIF) of Non-comminuted Distal Interprosthetic Femur Fractures","volume":"32","author":"M S Hussain","year":"2018","journal-title":"J Orthop Trauma"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1097\/BOT.0b013e318190cf88","article-title":"Elastic stable intramedullary nailing versus nonoperative treatment of displaced midshaft clavicular fractures-a randomized, controlled, clinical trial","volume":"17","author":"V Smekal","year":"2009","journal-title":"J Orthop Trauma"},{"key":"ref27","doi-asserted-by":"crossref","first-page":"324","DOI":"10.1016\/j.injury.2010.02.033","article-title":"Elastic stable intramedullary nailing is best for mid-shaft clavicular fractures without comminution: results in 60 patients","volume":"42","author":"V Smekal","year":"2011","journal-title":"Injury"},{"issue":"S 02","key":"ref28","doi-asserted-by":"crossref","first-page":"S8","DOI":"10.1016\/S0020-1383(17)30487-4","article-title":"Comparison between antegrade intramedullary nailing (IMN), open reduction plate osteosynthesis (ORPO) and minimally invasive plate osteosynthesis (MIPO) in treatment of humerus diaphyseal fractures","volume":"48","author":"V S Kulkarni","year":"2017","journal-title":"Injury"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"339","DOI":"10.1007\/s00402-014-2142-1","article-title":"Comparison of novel intramedullary nailing with 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Unfallchirurgie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1008-9943.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,3]],"date-time":"2020-12-03T23:31:51Z","timestamp":1607038311000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1008-9943"}},"subtitle":["Comparison of IMN and MIPO in Clavicular Mid-shaft Fractures"],"short-title":[],"issued":{"date-parts":[[2019,11,19]]},"references-count":31,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2020,12,3]]},"published-print":{"date-parts":[[2020,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1008-9943","relation":{},"ISSN":["1864-6697","1864-6743"],"issn-type":[{"value":"1864-6697","type":"print"},{"value":"1864-6743","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,11,19]]}}}