{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T18:29:07Z","timestamp":1770834547913,"version":"3.50.1"},"reference-count":42,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,5,24]],"date-time":"2023-05-24T00:00:00Z","timestamp":1684886400000},"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":[[2023,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>For complex and unstable scapular fractures requiring simultaneous fixation of the glenoid neck, the lateral margin of the body, and\/or the scapular diaphysis, reconstruction locking plate is difficult to achieve satisfactory fixation. In order to optimize the fixation effect, the newly designed claw\u2010shaped bone plate was designed for fixing such fractures. We also evaluate the clinical effects and follow\u2010up at an average of 1\u2009year after treatment in scapular internal fixation by using reconstruction locking plate and claw\u2010shaped bone plate in complex unstable scapular body and glenoid neck fracture.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study was conducted from 2018 to 2021, thirty\u2010three patients (27 males and six females) who were defined unstable scapular fractures by Ada\u2013Miller. Fifteen patients (52.86\u2009\u00b1\u20098.26\u2009years) received claw\u2010shaped bone plate and 18 cases (51.61\u2009\u00b1\u200911.31\u2009years) received reconstruction locking plate with the intermuscular approach. The clinical effect was evaluated based on the operation time, intraoperative blood loss, surgical complications, clinical healing time and Constant\u2013Murley score (CMS). The data analysis by Student <jats:italic>t<\/jats:italic>, Mann\u2013Whitney <jats:italic>U<\/jats:italic> test and Pearson's chi squared test.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Compared with reconstruction locking plate, the claw\u2010shaped bone plate showed shorter operation time (102.73\u2009\u00b1\u200918.43 min vs. 156\u2009\u00b1\u200937.53, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001), higher CMS (94.00\u2009\u00b1\u20094.07 vs. 89.88\u2009\u00b1\u20095.42, <jats:italic>P<\/jats:italic> =\u20090.02) and no differences between the two groups regarding intraoperative blood loss (208.00\u2009\u00b1\u200996.45\u2009mL vs. 269.44\u2009\u00b1\u2009120.21, <jats:italic>P<\/jats:italic> =\u20090.12) and clinical healing times (9.96\u2009\u00b1\u20091.52 vs. 10.05\u2009\u00b1\u20091.67, <jats:italic>P<\/jats:italic> =\u20090.87). Follow\u2010up were conducted at first, third, 6 and 12\u2009months after surgery. The operation was successful in all patients with no intraoperative complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>For the treatment of complex and unstable scapular neck body fractures, the application of claw\u2010shaped bone plate demonstrated short operation time, better stability of the fracture block, and higher CMS. In the intraoperative and postoperative follow\u2010up showed better clinical results and rehabilitation effects.<\/jats:p><\/jats:sec>","DOI":"10.1111\/os.13766","type":"journal-article","created":{"date-parts":[[2023,5,25]],"date-time":"2023-05-25T06:55:44Z","timestamp":1684997744000},"page":"2124-2131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Novel Claw\u2010shaped Bone Plate in Complex Unstable Scapular Neck and Body Fractures: Comparison with Reconstruction Locking Plate"],"prefix":"10.1111","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3300-0627","authenticated-orcid":false,"given":"Huiming","family":"Shi","sequence":"first","affiliation":[{"name":"School of Basic Medical Sciences Xi'an Jiaotong University  Xi'an China"},{"name":"Traumatic Orthopaedics Department Hanzhong Central Hospital  Hanzhong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kun","family":"Zhang","sequence":"additional","affiliation":[{"name":"Orthopaedics Department of Xi'an Honghui Hospital  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanjun","family":"Hu","sequence":"additional","affiliation":[{"name":"Traumatic Orthopaedics Department Hanzhong Central Hospital  Hanzhong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wei","family":"Wu","sequence":"additional","affiliation":[{"name":"Traumatic Orthopaedics Department Hanzhong Central Hospital  Hanzhong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Liu","sequence":"additional","affiliation":[{"name":"Traumatic Orthopaedics Department Hanzhong Central Hospital  Hanzhong China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haixia","family":"Lu","sequence":"additional","affiliation":[{"name":"School of Basic Medical Sciences Xi'an Jiaotong University  Xi'an China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5,24]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0884-y"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-015-2821-8"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1302\/2058-5241.6.210010"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2019.01.017"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-011-1970-3"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1457496913482251"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.15.01224"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.07.022"},{"key":"e_1_2_9_10_1","unstructured":"KannanS SinghHP PandeyR.A systematic review of management of scapular fractures.2018;84(4):497\u2013508."},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11999-010-1670-4"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-009-0855-3"},{"issue":"283","key":"e_1_2_9_13_1","first-page":"193","article-title":"Fracture of the body, neck, or spine of the scapula. 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