{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:40:40Z","timestamp":1782603640306,"version":"3.54.5"},"reference-count":25,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2017,4]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To determine the proportion of patients requiring secondary surgery for symptomatic implant removal after open reduction, internal fixation using dual mini-fragment plating technique for clavicular shaft fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Retrospective observational study.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Single university Level 1 trauma center.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Patients:<\/jats:title>\n            <jats:p>Eighty-one patients treated with open reduction, internal fixation using dual mini-fragment plating technique for clavicular shaft fractures (OTA\/AO 15-B1, B2, and B3) with minimum 12-month follow-up (median 477 days; range 371\u20131549 days).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Open reduction, internal fixation using dual mini-fragment plating technique for clavicular shaft fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Incidence of secondary surgery, <jats:italic toggle=\"yes\">Quick<\/jats:italic>DASH (Disabilities of the Arm, Shoulder, and Hand) scores.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Six of 81 patients (7.4%) underwent secondary surgery for implant removal for any reason. Of these, 3 (3.7%) underwent symptomatic implant (soft-tissue irritation) removal, 2 (2.5%) required implant removal in the setting of infection, and 1 patient (1.2%) required revision open reduction internal fixation for early implant failure. The mean <jats:italic toggle=\"yes\">Quick<\/jats:italic>DASH score in this series was 8.44 (\u00b16.94, range 0\u201377.27). The associated implant cost of the typical construct utilized in this series was $1511.38. The mean surgical time was 97 minutes (range 71\u2013143 minutes).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>The utilization of a dual mini-fragment plating technique in the treatment of clavicular shaft fractures results in a low rates of secondary surgery for symptomatic implant removal (3.7%) and similar <jats:italic toggle=\"yes\">Quick<\/jats:italic>DASH scores when compared with historical controls treated with 3.5-mm plates placed on the superior clavicle. Potential disadvantages in using this technique include a higher surgical implant cost and length of surgery.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000000760","type":"journal-article","created":{"date-parts":[[2016,12,15]],"date-time":"2016-12-15T16:06:39Z","timestamp":1481817999000},"page":"236-240","source":"Crossref","is-referenced-by-count":36,"title":["Symptomatic Implant Removal Following Dual Mini-Fragment Plating for Clavicular Shaft Fractures"],"prefix":"10.1097","volume":"31","author":[{"given":"Cory M.","family":"Czajka","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, University of Texas at Houston, Houston, TX; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew","family":"Kay","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Houston Methodist Hospital, Houston, TX."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua 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