{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:40:48Z","timestamp":1777891248245,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2024,3,14]]},"abstract":"<jats:p>BACKGROUND: Nonunion is a major concern for orthopedic surgeons, particularly nonunion of the clavicle, which can cause severe pain, loss of full range of motion, poor sleep quality, and loss of strength in the affected individuals. Platelet-rich plasma (PRP), an important biological agent, is widely used in orthopedics. OBJECTIVE: We used a combination of three techniques \u2013 the PRP technique, autologous bone grafting technique, and internal plate fixation technique \u2013 to ensure adequate internal fixation and enable a bone growth-supportive environment at the fracture site. METHODS: The surgical approach was applied to a patient with clavicle nonunion. RESULTS: Based on postoperative follow-up findings and intraoperative findings at the time of re-removal of the patient\u2019s implant, the prognosis at the fracture site was considered satisfactory. CONCLUSION: We observed that the patient treated with this method had favorable clinical outcomes, and we recommend that this technique be used in patients with long-bone nonunion.<\/jats:p>","DOI":"10.3233\/thc-230336","type":"journal-article","created":{"date-parts":[[2023,9,5]],"date-time":"2023-09-05T11:53:29Z","timestamp":1693914809000},"page":"545-550","source":"Crossref","is-referenced-by-count":0,"title":["A novel treatment of clavicular nonunion: Combination with PRP, autologous bone grafting, and internal plate fixation"],"prefix":"10.1177","volume":"32","author":[{"given":"Ye","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China"},{"name":"Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weina","family":"Ju","sequence":"additional","affiliation":[{"name":"Neuroscience Center, Department of Neurology, The First Hospital of Jilin University, Changchun, Jilin, China"},{"name":"Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ning","family":"Gai","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baochang","family":"Qi","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Traumatology, The First Hospital of Jilin University, Changchun, Jilin, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"1","key":"10.3233\/THC-230336_ref1","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s12891-017-1444-1","article-title":"Clavicle fractures: Epidemiology, classification and treatment of 2 422 fractures in the Swedish Fracture Register; an observational study","volume":"18","author":"Kihlstr\u00f6m","year":"2017","journal-title":"BMC Musculoskelet Disord."},{"key":"10.3233\/THC-230336_ref2","doi-asserted-by":"publisher","DOI":"10.2106\/jbjs.F.00020"},{"issue":"2","key":"10.3233\/THC-230336_ref3","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/s0020-1383(01)00069-9","article-title":"Clavicular fracture non-union surgical outcome and complications","volume":"33","author":"Der Tavitian","year":"2002","journal-title":"Injury."},{"issue":"5","key":"10.3233\/THC-230336_ref4","doi-asserted-by":"publisher","first-page":"1000","DOI":"10.1177\/0363546509355143","article-title":"Effect of shortening deformity of the clavicle on scapular kinematics: A cadaveric study","volume":"38","author":"Matsumura","year":"2010","journal-title":"Am J Sports Med."},{"issue":"8","key":"10.3233\/THC-230336_ref5","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.2106\/00004623-199173080-00012","article-title":"Non-union of fractures of the mid-shaft of the clavicle. 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