{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T04:54:52Z","timestamp":1790657692004,"version":"4.1.0"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To compare clinical and perioperative outcomes of dual mini-plate fixation with mini-plus-standard plate fixation for displaced medial clavicle fractures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed 30 patients treated surgically between October 2016 and March 2023. Group A (n=16) underwent dual mini-plate fixation using two 2.7-mm low-profile plates, whereas Group B (n=14) underwent mini-plus-standard plate fixation using a contoured inverted distal clavicle locking plate together with a 2.7-mm mini-plate. Operative time, blood loss, a study-specific intraoperative construct-stability assessment, fracture healing, implant-related complications, Constant-Murley score, Rockwood score, and Disabilities of the Arm, Shoulder, and Hand (DASH) score were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Operative time was shorter with dual mini-plate fixation (48.8\u00b111.8 vs. 59.5\u00b113.7 min; P=0.029), and stable fixation on the intraoperative assessment was more frequent (15\/16 [93.8%] vs. 8\/14 [57.1%]; Fisher exact P=0.031). Blood loss and radiographic healing time were similar between groups. Implant-related skin irritation with persistent local discomfort occurred in 0\/16 patients in Group A and 6\/14 (42.9%) in Group B (P=0.005); symptoms improved after hardware removal. Constant-Murley and Rockwood scores were comparable, whereas the final DASH score was lower in Group A (1.6\u00b10.3 vs. 2.1\u00b10.4; P&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both constructs achieved fracture union and good shoulder function in this small retrospective series. Dual mini-plate fixation was associated with shorter operative time, greater intraoperative construct stability, and less implant prominence-related irritation than the mini-plus-standard plate construct. These findings should be interpreted in view of the nonrandomized design and limited sample size.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10225536261488962","type":"journal-article","created":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T06:03:08Z","timestamp":1789192988000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual mini-plate versus mini-plus-standard plate fixation for displaced medial clavicle fractures: A retrospective comparative study"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1145-8757","authenticated-orcid":false,"given":"Xiaowen","family":"Huang","sequence":"first","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University (Jiangsu Provincial Hospital)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianrun","family":"L\u00fc","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University (Jiangsu Provincial Hospital)"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2825-4356","authenticated-orcid":false,"given":"Jiuxiang","family":"Liu","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital with Nanjing Medical University (Jiangsu Provincial Hospital)"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,11]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/1758573220923122"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/TME.0000000000000347"},{"issue":"2","key":"e_1_3_6_4_2","first-page":"119","article-title":"Acute shoulder injuries in adults","volume":"94","author":"Monica J","year":"2016","unstructured":"Monica J, Vredenburgh Z, Korsh J, et al. Acute shoulder injuries in adults. Am Fam Physician 2016; 94(2): 119\u2013127.","journal-title":"Am Fam Physician"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0030-5898(05)70141-3"},{"issue":"3","key":"e_1_3_6_6_2","first-page":"278","article-title":"Digital study on proximal clavicle anatomical plate based on 3D printing technology","volume":"37","author":"Zheng Y","year":"2024","unstructured":"Zheng Y, Zheng XG, Zhang JK, et al. Digital study on proximal clavicle anatomical plate based on 3D printing technology. Zhongguo Gu Shang 2024; 37(3): 278\u2013280.","journal-title":"Zhongguo Gu Shang"},{"key":"e_1_3_6_7_2","first-page":"1","article-title":"Study on shape memory alloy embracing fixator in treatment of the proximal clavicle fracture","volume":"40","author":"Wu H","year":"2023","unstructured":"Wu H, Jiang P, Li L, et al. Study on shape memory alloy embracing fixator in treatment of the proximal clavicle fracture. Biotechnol Genet Eng Rev 2023; 40: 1\u20137. https:\/\/doi.org\/10.1080\/02648725.2023.2202530","journal-title":"Biotechnol Genet Eng Rev"},{"issue":"7","key":"e_1_3_6_8_2","first-page":"672","article-title":"Surgical treatment methods and classification of proximal clavicle fracture","volume":"36","author":"Fu QS","year":"2023","unstructured":"Fu QS, Han XY, Wang WB, et al. Surgical treatment methods and classification of proximal clavicle fracture. Zhongguo Gu Shang 2023; 36(7): 672\u2013675.","journal-title":"Zhongguo Gu Shang"},{"key":"e_1_3_6_9_2","first-page":"1","article-title":"Comparison of the clinical efficacy of three internal fixation methods in the treatment of Edinburgh type IB fractures of the proximal clavicle","author":"Ma C","year":"2023","unstructured":"Ma C, Miao F, Wu H, et al. Comparison of the clinical efficacy of three internal fixation methods in the treatment of Edinburgh type IB fractures of the proximal clavicle. Biotechnol Genet Eng Rev 2023: 1\u201315.","journal-title":"Biotechnol Genet Eng Rev"},{"issue":"4","key":"e_1_3_6_10_2","first-page":"557","article-title":"Surgical repair of symptomatic medial clavicular fracture nonunion using a reversed distal clavicle plate: a report of 3 cases","volume":"3","author":"Anigwe C","year":"2023","unstructured":"Anigwe C, Colyvas N, Lansdown DA. Surgical repair of symptomatic medial clavicular fracture nonunion using a reversed distal clavicle plate: a report of 3 cases. JSES Rev Rep Tech 2023; 3(4): 557\u2013562. https:\/\/doi.org\/10.1016\/j.xrrt.2023.05.011","journal-title":"JSES Rev Rep Tech"},{"key":"e_1_3_6_11_2","doi-asserted-by":"publisher","DOI":"10.4055\/cios23034"},{"issue":"10","key":"e_1_3_6_12_2","first-page":"1004","article-title":"Treatment of acute unstable proximal clavicular fracture with hook plate of sternoclavicular joint","volume":"35","author":"Sun FG","year":"2022","unstructured":"Sun FG, Liu R, Xiong XW, et al. Treatment of acute unstable proximal clavicular fracture with hook plate of sternoclavicular joint. Zhongguo Gu Shang 2022; 35(10): 1004\u20131007.","journal-title":"Zhongguo Gu Shang"},{"key":"e_1_3_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00113-021-01074-8"},{"key":"e_1_3_6_14_2","doi-asserted-by":"publisher","DOI":"10.1590\/1806-9282.66.5.654"},{"key":"e_1_3_6_15_2","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.916922"},{"key":"e_1_3_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.aott.2018.11.005"},{"issue":"6","key":"e_1_3_6_17_2","first-page":"5390","article-title":"A novel surgical method for treating medial-end clavicle fractures","volume":"16","author":"Xie WP","year":"2018","unstructured":"Xie WP, Zhang YK, Chen YH, et al. A novel surgical method for treating medial-end clavicle fractures. 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