{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T01:06:16Z","timestamp":1784768776912,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T00:00:00Z","timestamp":1653264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Orthopaedic Surgery"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To compare the clinical efficacy of performing simple plate fixation with that using a plate combined with fracture end fixation to investigate the necessity of fracture end fixation outside the plate in cases of oblique fracture of the middle clavicle.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This was a retrospective follow\u2010up study of patients with middle clavicle oblique fractures (Robinson types 2A1 and 2A2) between 2015 and 2020. Patients were divided into two groups according to their treatment options: the simple plate fixation (SPF) group (<jats:italic>n<\/jats:italic>\u00a0=\u00a079; 43 men and 36 women; average age, 46.37\u2009\u00b1\u200914.54\u2009years) and the plate combined with fracture local fixation (PLFP) group (<jats:italic>n<\/jats:italic>\u00a0=\u00a081; 36 men and 45 women; average age, 48.42\u2009\u00b1\u200912.55\u2009years). Intraoperative blood loss, operation time, postoperative fracture healing time, postoperative shoulder function score (Constant\u2013Murley and disabilities of the arm, shoulder, and hand [DASH] scores), clinical complications, and postoperative subjective satisfaction were compared between the two groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred sixty patients with a sufficient follow\u2010up period were included in the final analysis: 79 in the SPF group (follow\u2010up time: 16.24\u2009\u00b1\u20093.94\u00a0months) and 81 in the PLFP group (follow\u2010up time: 16.15\u2009\u00b1\u20093.43\u00a0months). Age, sex, body mass index, follow\u2010up duration, fracture classification, and cause of injury were not significantly different between the two groups. There was no significant difference in blood loss, Constant\u2013Murley and DASH scores, follow\u2010up period, and postoperative subjective satisfaction between the two groups (<jats:italic>P &gt;<\/jats:italic>\u00a00.05). The fracture healing time was shorter in the PLFP group than in the SPF group (4.41\u2009\u00b1\u20090.99 <jats:italic>vs<\/jats:italic>. 4.87\u2009\u00b1\u20091.60\u00a0months, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05), but the operation duration was longer in the PLFP group than in the SPF group (65.48\u2009\u00b1\u200916.48 min, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.05). There were seven (complication rate, 8.86%) and five (complication rate, 6.17%) cases that had complications in the SPF and PLFP groups, respectively. There was no significant difference in the complication rates between the two groups (<jats:italic>P &gt;<\/jats:italic>\u00a00.05).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Although the healing time was shorter in the PLFP group than in the SPF group, the clinical efficiency of the two methods in the treatment of oblique fracture of the middle clavicle was similar.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13310","type":"journal-article","created":{"date-parts":[[2022,5,23]],"date-time":"2022-05-23T08:33:57Z","timestamp":1653294837000},"page":"1331-1339","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Comparison of the Effectiveness of Simple Plate Fixation and Plate Combined with Local Fixation of Broken Ends in the Treatment of Oblique Fracture of Midshaft Clavicle"],"prefix":"10.1111","volume":"14","author":[{"given":"Gong\u2010ming","family":"Gao","sequence":"first","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hai\u2010bo","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lu\u2010ming","family":"Nong","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xin\u2010die","family":"Zhou","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6235-2162","authenticated-orcid":false,"given":"Long","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The Affiliated Changzhou No.2 People's Hospital of Nanjing Medical University  Changzhou 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