{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T12:35:32Z","timestamp":1777466132208,"version":"3.51.4"},"reference-count":29,"publisher":"SAGE Publications","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMR"],"published-print":{"date-parts":[[2024,5,10]]},"abstract":"<jats:p>BACKGROUND: The clavicle is recognized as the bone most vulnerable to fractures. Moreover, approximately 80% of fractures occur in the middle third of the clavicle. Conservative treatment is associated with a higher rate of nonunion, while surgical treatment of fracture via internal fixation may have a variety of postoperative complications. Therefore, to improve patient satisfaction and reduce the complications related to internal fixation techniques, we modified the surgical approach to external fixation. OBJECTIVE: The purpose of this study was to assess the modified intervention\u2019s prospects for clinical application. METHODS: A total of 36\u00a0patients with middle clavicle fractures were treated with screw\u2013rod external fixation between April 2015 and October 2019. We observed the operative time, intraoperative blood loss, length of hospital stay, and fracture healing time. The patients were followed up regularly, and the clinical efficacy of the modified intervention was evaluated. Finally, the patients\u2019 shoulder function was assessed based on the disabilities of the arm, shoulder, and hand (DASH) score. RESULTS: For the screw\u2013rod external fixation, the mean operative time was found to be 48.6 \u00b1 6.8\u00a0min, the intraoperative blood loss was 30.6 \u00b1 17.2\u00a0mL, the length of hospital stay was 4.5 \u00b1 1.5\u00a0days, and the fracture healing time was 2.8 \u00b1 0.4\u00a0months. Eventually, all the patients healed well, with the combined \u201cexcellent\u201d and \u201cgood\u201d rate of shoulder function being assessed to be as high as 94.44%. Furthermore, the DASH scores were all less than 10, with the average score being 4.65\u00a0\u00b1 3.34. CONCLUSIONS: The screw\u2013rod external fixation technique offers the advantages of convenience, reliability, and good aesthetics, suggesting that it could be used as an alternative treatment method for fractures of the middle third of the clavicle.<\/jats:p>","DOI":"10.3233\/bmr-220424","type":"journal-article","created":{"date-parts":[[2024,3,19]],"date-time":"2024-03-19T11:52:10Z","timestamp":1710849130000},"page":"611-616","source":"Crossref","is-referenced-by-count":0,"title":["A novel surgical method for treating fractures of the middle third of the clavicle"],"prefix":"10.1177","volume":"37","author":[{"given":"Yayun","family":"Liu","sequence":"first","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaozheng","family":"Tang","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuanjun","family":"Ding","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, The Second People\u2019s Hospital of Jingdezhen, Jingdezhen, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jingtang","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics, Jiangxi Provincial People\u2019s Hospital, The First Affiliated Hospital of Nanchang Medical College, Nanchang, Jiangxi, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"11","key":"10.3233\/BMR-220424_ref1","doi-asserted-by":"crossref","first-page":"e439","DOI":"10.1097\/BOT.0000000000001580","article-title":"Operative versus nonoperative management of displaced midshaft clavicle fractures in pediatric and adolescent patients: A systematic review and meta-analysis","volume":"33","author":"Gao","year":"2019","journal-title":"J Orthop Trauma"},{"key":"10.3233\/BMR-220424_ref2","doi-asserted-by":"crossref","unstructured":"Amer K, Smith B, Thomson JE, Congiusta D, Reilly MC, Sirkin MS, et al. Operative versus nonoperative outcomes of middle-third clavicle fractures: A systematic review and meta-analysis. J Orthop Trauma. 2020; 34(1): e6-e13.","DOI":"10.1097\/BOT.0000000000001602"},{"issue":"6","key":"10.3233\/BMR-220424_ref3","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1016\/j.otsr.2018.01.013","article-title":"Are commercially-available precontoured anatomical clavicle plating systems offering the purported superior optimum fitting to the clavicle? 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Midshaft clavicle fractures treated nonoperatively using Figure-of-eight bandage: Are fracture type, shortening, and displacement radiographic predictors of failure? 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