{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T18:16:22Z","timestamp":1777659382996,"version":"3.51.4"},"reference-count":34,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2021,10,1]],"date-time":"2021-10-01T00:00:00Z","timestamp":1633046400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ortop (Sao Paulo)"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:title>Resumo<\/jats:title><jats:p>\n          Objetivo\u2003Analisar o resultado radiol\u00f3gico, cl\u00ednico e funcional das fraturas da clav\u00edcula, tratadas pela t\u00e9cnica de osteoss\u00edntese com placa minimamente invasiva (MIPO).<\/jats:p><jats:p>\n          M\u00e9todos\u2003De junho de 2018 a julho de 2019, um total de 17 casos de fraturas claviculares foram tratadas com a t\u00e9cnica de osteoss\u00edntese com placa minimamente invasiva (MIPO), sob fluoroscopia com o bra\u00e7o em C. Os resultados funcionais foram avaliados por meio do escore de Constant-Murley e pelo escore de incapacidade do bra\u00e7o, ombro e m\u00e3o (DASH). Foram analisados os resultados cl\u00ednicos de consolida\u00e7\u00e3o, complica\u00e7\u00f5es, tempo cir\u00fargico, perman\u00eancia hospitalar e infec\u00e7\u00e3o.<\/jats:p><jats:p>\n          Resultados\u2003O tempo m\u00e9dio de acompanhamento neste estudo foi de 10,41\u2009\u00b1\u20091,75 meses (varia\u00e7\u00e3o, 8 a 14 meses). Havia 11 pacientes do sexo masculino e seis do feminino, com m\u00e9dia de idade de 39,05\u2009\u00b1\u200910,76 anos (varia\u00e7\u00e3o de 22 a 57 anos). Todas as fraturas se consolidaram no tempo m\u00e9dio de 15,35\u2009\u00b1\u20093,08 semanas (varia\u00e7\u00e3o, 12 a 20 semanas). O tempo cir\u00fargico m\u00e9dio foi de 98,11\u2009\u00b1\u200913,83 minutos (varia\u00e7\u00e3o, 70 a 130), sendo a perman\u00eancia hospitalar m\u00e9dia de 4,7\u2009\u00b1\u20091,12 dias (varia\u00e7\u00e3o de 3 a 7). O escore de Constant-Murley m\u00e9dio foi de 74,82\u2009\u00b1\u20096,36 no 4\u00b0 m\u00eas e 92,35\u2009\u00b1\u20095,48 no 8\u00b0 m\u00eas do p\u00f3s-operat\u00f3rio, o que foi estatisticamente significativo. O escore DASH m\u00e9dio foi de 9,94\u2009\u00b1\u20091,55 no 4\u00b0 m\u00eas e 5,29\u2009\u00b1\u20091,85 na 8\u00aa semana do p\u00f3s-operat\u00f3rio, tamb\u00e9m sendo estatisticamente significativo. Um paciente apresentou infec\u00e7\u00e3o cut\u00e2nea superficial no local da incis\u00e3o.<\/jats:p><jats:p>\n          Conclus\u00f5es\u2003A t\u00e9cnica MIPO \u00e9 um m\u00e9todo alternativo para a fixa\u00e7\u00e3o de fraturas da clav\u00edcula, por\u00e9m \u00e9 tecnicamente mais desafiador, j\u00e1 que necessita de instala\u00e7\u00f5es cir\u00fargicas mais bem equipadas.<\/jats:p>","DOI":"10.1055\/s-0041-1731358","type":"journal-article","created":{"date-parts":[[2021,10,2]],"date-time":"2021-10-02T00:09:55Z","timestamp":1633133395000},"page":"295-300","source":"Crossref","is-referenced-by-count":4,"title":["Osteoss\u00edntese minimamente invasiva com placa para fraturas de clav\u00edcula"],"prefix":"10.1055","volume":"57","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4088-0199","authenticated-orcid":false,"given":"Pramod","family":"Devkota","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5543-6317","authenticated-orcid":false,"given":"Balakrishnan M.","family":"Acharya","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9222-6143","authenticated-orcid":false,"given":"Nabees Man Singh","family":"Pradhan","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8793-6466","authenticated-orcid":false,"given":"Suman Kumar","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2835-7445","authenticated-orcid":false,"given":"Abhishek Kumar","family":"Thakur","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9907-4063","authenticated-orcid":false,"given":"Bidur","family":"Gyawali","sequence":"additional","affiliation":[{"name":"Ortopedista e traumatologista do Departamento de Ortopedia e Cirurgia do Trauma, Patan Academy of Health Sciences, Patan Hospital, Lalitpur, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,10,1]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"447","DOI":"10.2106\/JBJS.H.00034","article-title":"Fractures of the clavicle","volume":"91","author":"L A Khan","year":"2009","journal-title":"J Bone Joint Surg Am"},{"issue":"01","key":"ref2","first-page":"100","article-title":"Clinical Evaluation of the Surgical Treatment of Midshaft Clavicle Fractures at a Hospital in the South of Santa Catarina","volume":"55","author":"F HS Hehn","year":"2020","journal-title":"Rev Bras Ortop (Sao Paulo)"},{"issue":"300","key":"ref3","first-page":"127","article-title":"The incidence of fractures of the clavicle","author":"A Nordqvist","year":"1994","journal-title":"Clin Orthop Relat Res"},{"issue":"58","key":"ref4","first-page":"29","article-title":"An atlas of anatomy and treatment of midclavicular fractures","volume":"58","author":"C R Rowe","year":"1968","journal-title":"Clin Orthop Relat Res"},{"issue":"03","key":"ref5","doi-asserted-by":"crossref","first-page":"461","DOI":"10.1302\/0301-620X.70B3.3372571","article-title":"The mechanism of clavicular fracture. A clinical and biomechanical analysis","volume":"70","author":"D Stanley","year":"1988","journal-title":"J Bone Joint Surg Br"},{"issue":"06","key":"ref6","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1007\/BF00449938","article-title":"Outcome of clavicular fracture in 89 patients","volume":"105","author":"A Eskola","year":"1986","journal-title":"Arch Orthop Trauma Surg"},{"issue":"01","key":"ref7","doi-asserted-by":"crossref","first-page":"71","DOI":"10.3109\/17453678709146346","article-title":"Treatment of clavicular fractures. Figure-of-eight bandage versus a simple sling","volume":"58","author":"K Andersen","year":"1987","journal-title":"Acta Orthop Scand"},{"issue":"03","key":"ref8","doi-asserted-by":"crossref","first-page":"162","DOI":"10.1016\/0020-1383(88)90006-X","article-title":"Recovery following fractures of the clavicle treated conservatively","volume":"19","author":"D Stanley","year":"1988","journal-title":"Injury"},{"issue":"07","key":"ref9","doi-asserted-by":"crossref","first-page":"1359","DOI":"10.2106\/00004623-200407000-00002","article-title":"Estimating the risk of nonunion following nonoperative treatment of a clavicular fracture","volume":"86","author":"C M Robinson","year":"2004","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref10","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"},{"issue":"05","key":"ref11","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1067\/mse.2002.126613","article-title":"Epidemiology of clavicle fractures","volume":"11","author":"F Postacchini","year":"2002","journal-title":"J Shoulder Elbow Surg"},{"issue":"02","key":"ref12","first-page":"171","article-title":"Displaced midshaft clavicle fracture in athletes - should we operate?","volume":"53","author":"N ASM Souza","year":"2018","journal-title":"Rev Bras Ortop"},{"issue":"06","key":"ref13","doi-asserted-by":"crossref","first-page":"666","DOI":"10.1016\/j.otsr.2012.02.011","article-title":"Operative treatment of clavicle midshaft fractures using a locking compression plate: comparison between mini-invasive plate osteosynthesis (MIPPO) technique and conventional open reduction","volume":"98","author":"H Jiang","year":"2012","journal-title":"Orthop Traumatol Surg Res"},{"issue":"17","key":"ref14","doi-asserted-by":"crossref","first-page":"1576","DOI":"10.2106\/JBJS.L.00307","article-title":"Open reduction and plate fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a multicenter, randomized, controlled trial","volume":"95","author":"C M Robinson","year":"2013","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref15","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1007\/s12306-018-0577-1","article-title":"Minimally invasive plate osteosynthesis (MIPO) in AO\/OTA type B displaced clavicle fractures","volume":"103","author":"R S Kundangar","year":"2019","journal-title":"Musculoskelet Surg"},{"issue":"01","key":"ref16","doi-asserted-by":"crossref","first-page":"147","DOI":"10.2106\/00004623-198163010-00019","article-title":"Open reduction and internal fixation of clavicular fractures","volume":"63","author":"E J Zenni Jr","year":"1981","journal-title":"J Bone Joint Surg Am"},{"issue":"01","key":"ref17","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.jse.2010.07.009","article-title":"Complications of clavicle fractures treated with intramedullary fixation","volume":"20","author":"P J Millett","year":"2011","journal-title":"J Shoulder Elbow Surg"},{"issue":"04","key":"ref18","doi-asserted-by":"crossref","first-page":"327","DOI":"10.4055\/cios.2013.5.4.327","article-title":"Biologic fixation through bridge plating for comminuted shaft fracture of the clavicle: technical aspects and prospective clinical experience with a minimum of 12-month follow-up","volume":"5","author":"G H Jung","year":"2013","journal-title":"Clin Orthop Surg"},{"issue":"04","key":"ref19","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1016\/j.injury.2012.09.030","article-title":"Percutaneous plating for comminuted midshaft fractures of the clavicle: a surgical technique to aid the reduction with nail assistance","volume":"44","author":"H J Lee","year":"2013","journal-title":"Injury"},{"issue":"08","key":"ref20","doi-asserted-by":"crossref","first-page":"1679","DOI":"10.1007\/s00264-016-3392-z","article-title":"Minimally invasive plate osteosynthesis technique for displaced midshaft clavicular fracture using the clavicle reductor","volume":"41","author":"T Zhang","year":"2017","journal-title":"Int Orthop"},{"issue":"01","key":"ref21","doi-asserted-by":"crossref","first-page":"e7","DOI":"10.1016\/j.jse.2015.06.024","article-title":"Minimally invasive plate osteosynthesis for midshaft clavicular fractures using superior anatomic plating","volume":"25","author":"Y Zhang","year":"2016","journal-title":"J Shoulder Elbow Surg"},{"issue":"11","key":"ref22","doi-asserted-by":"crossref","first-page":"2230","DOI":"10.1016\/j.injury.2015.08.018","article-title":"Clinical comparison of two different plating methods in minimally invasive plate osteosynthesis for clavicular midshaft fractures: A randomized controlled trial","volume":"46","author":"H S Sohn","year":"2015","journal-title":"Injury"},{"key":"ref23","first-page":"153","volume-title":"Cases \u2013 Clavicle","author":"V Phiphobmongkol","year":"2012","edition":"2nd ed."},{"issue":"214","key":"ref24","first-page":"160","article-title":"A clinical method of functional assessment of the shoulder","author":"C R Constant","year":"1987","journal-title":"Clin Orthop Relat Res"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected]","volume":"29","author":"P L Hudak","year":"1996","journal-title":"Am J Ind Med"},{"issue":"01","key":"ref26","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.F.00020","article-title":"Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial","volume":"89","author":"Canadian Orthopaedic Trauma Society","year":"2007","journal-title":"J Bone Joint Surg Am"},{"issue":"08","key":"ref27","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"},{"issue":"S 01","key":"ref28","first-page":"VI","article-title":"The technology of minimally invasive percutaneous osteosynthesis (MIPO)","volume":"33","author":"S M Perren","year":"2002","journal-title":"Injury"},{"issue":"10","key":"ref29","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1097\/BOT.0b013e318254895f","article-title":"Minimally invasive plate osteosynthesis of humeral shaft fractures: a technique to aid fracture reduction and minimize complications","volume":"26","author":"S J Shin","year":"2012","journal-title":"J Orthop Trauma"},{"issue":"03","key":"ref30","first-page":"306","article-title":"Retrospective study of superior anterior plate as a treatment for unstable (Neer type 2) distal clavicle fractures","volume":"53","author":"S Ibrahim","year":"2017","journal-title":"Rev Bras Ortop"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"128","DOI":"10.1186\/s12891-015-0592-4","article-title":"Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures?","volume":"16","author":"M Beirer","year":"2015","journal-title":"BMC Musculoskelet Disord"},{"issue":"05","key":"ref32","doi-asserted-by":"crossref","first-page":"414","DOI":"10.1016\/j.jor.2019.04.009","article-title":"Clinical outcome of internal fixation of middle third clavicle fractures using locking compression plate: Comparison between open plating and MIPO","volume":"16","author":"R Kundangar","year":"2019","journal-title":"J Orthop"},{"issue":"07","key":"ref33","doi-asserted-by":"crossref","first-page":"654","DOI":"10.1016\/j.ijsu.2014.05.001","article-title":"Minimally invasive in the treatment of clavicle middle part fractures with locking reconstruction plate","volume":"12","author":"X Wang","year":"2014","journal-title":"Int J Surg"},{"issue":"33","key":"ref34","doi-asserted-by":"crossref","first-page":"e16836","DOI":"10.1097\/MD.0000000000016836","article-title":"Pneumothorax after minimally invasive plate osteosynthesis for midshaft clavicle fracture: A case report","volume":"98","author":"M K Kim","year":"2019","journal-title":"Medicine (Baltimore)"}],"container-title":["Revista Brasileira de Ortopedia"],"original-title":[],"language":"pt","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1731358.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,27]],"date-time":"2022-05-27T23:51:12Z","timestamp":1653695472000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1731358"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,10,1]]},"references-count":34,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2022,5,27]]},"published-print":{"date-parts":[[2022,4]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1731358","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0102-3616","1982-4378"],"issn-type":[{"value":"0102-3616","type":"print"},{"value":"1982-4378","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,10,1]]}}}