{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:07:56Z","timestamp":1772168876007,"version":"3.50.1"},"update-to":[{"DOI":"10.12688\/f1000research.162891.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000}},{"DOI":"10.12688\/f1000research.162891.2","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000}}],"reference-count":31,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:00:00Z","timestamp":1756339200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["f1000research.com"],"crossmark-restriction":false},"short-container-title":["F1000Res"],"abstract":"<ns3:p>Abstract Background This study assessed the functional outcomes and complications of open reduction and internal fixation (ORIF) using precontoured superior clavicle locking plates for displaced midshaft clavicular fractures. Methods In a prospective two-center study at Al-Thawra Modern General Hospital and Kuwait University Hospital, Sana\u2019a, Yemen, from January 2018 to September 2024, 65 patients (\u226518 years) with closed, displaced midshaft clavicular fractures (displacement &gt;2 cm, shortening &gt;2 cm, comminution, or skin tenting) underwent ORIF. Functional outcomes were evaluated six months postoperatively using the University of California, Los Angeles (UCLA) shoulder rating score. Data were analyzed using SPSS version 26. Results The mean patient age was 32.09 years (83.1% male, n=54). Road traffic accidents were the primary mechanism of injury (66.2%, n=43). At 6 months, the mean UCLA score was 32.46 \u00b1 2.54, with 98.5% (n=64) achieving good or excellent outcomes (UCLA score \u226527) and 1.5% (n=1) fair\/poor. Complications included hardware irritation (1.5%, n=1), hardware failure (3.1%, n=2), and superficial infections (1.5%, n=1). All patients (100%) reported satisfaction with their outcomes. The UCLA scores varied significantly according to injury mechanism, side, and age, with older patients showing lower scores. Conclusion ORIF with precontoured locked plates yielded promising functional outcomes, high patient satisfaction, and low complication rates. However, the observational design, lack of a control group, and 6-month follow-up limit broader conclusions. Larger controlled studies are needed to validate these findings and guide the optimal management of displaced midshaft clavicular fractures.<\/ns3:p>","DOI":"10.12688\/f1000research.162891.3","type":"journal-article","created":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T13:25:07Z","timestamp":1756387507000},"page":"374","update-policy":"https:\/\/doi.org\/10.12688\/f1000research.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Functional Outcomes of Displaced Midshaft Clavicular Fractures Treated with Precontoured Locked Plates: A Prospective Study"],"prefix":"10.12688","volume":"14","author":[{"given":"Abdullah Ali","family":"Al-Moaish","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jamal 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Hussain","family":"Almahdi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-3815-3017","authenticated-orcid":false,"given":"Haitham Mohammed","family":"Jowah","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2560","published-online":{"date-parts":[[2025,8,28]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.2340\/17453674.2025.43000","article-title":"Increasing incidences and changes in treatment trends of clavicle fractures in adults during 2 decades in Denmark: a nationwide study on data from the Danish National Patient Registry.","volume":"96","author":"I Tryggedsson","year":"2025","journal-title":"Acta Orthop."},{"key":"ref2","doi-asserted-by":"publisher","first-page":"e001188","DOI":"10.1136\/tsaco-2023-001188","article-title":"Predictors requiring special attention to prevent clavicle fracture nonunion: a systematic 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article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.","order":0,"name":"copyright-info","label":"Copyright"}]}}