{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T07:45:28Z","timestamp":1785743128377,"version":"3.56.0"},"reference-count":17,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T00:00:00Z","timestamp":1785542400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Reports"],"abstract":"<jats:p>Background and Clinical Significance: Clavicular fractures account for approximately 2.6% of all fractures, with 80% of clavicular fractures occurring in the middle-third of the bone. The middle-third of the clavicle lies directly under the skin without any protection from soft tissue or muscle attachments. The purposes of this case report are as follows: (1) to represent the prosthesis and its operative implantation and (2) to assess the radiological and clinical outcomes of using the prosthesis after a 2.5-year follow-up of the patient; Case Presentation: We present the case of a midshaft clavicle fracture in a 26-year-old, right-handed, male patient following a failure of conservative and open reduction and internal fixation of the fracture. A three-dimensional (3D) customized prosthesis with polyamide was designed for the patient. The patient presented 2.5 years after surgery with a VAS score of 2 and a DASH score of 21, and radiographic evaluation revealed good prosthesis position and no evidence of a stress fracture or unanticipated complications; Conclusions: This is a single case with successful polyamide prosthesis fixation in the treatment of a midshaft clavicle fracture after the failure of plate fixation.<\/jats:p>","DOI":"10.3390\/reports9030250","type":"journal-article","created":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T06:17:40Z","timestamp":1785737860000},"page":"250","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Developments in the Treatment of Midshaft Clavicle Fracture After Plate Fixation Failure: A Case Report with 2.5 Years of Follow-Up"],"prefix":"10.3390","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1346-6750","authenticated-orcid":false,"given":"Sahar Ahmed","family":"Abdalbary","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Physical Therapy, Faculty of Physical Therapy, Nahda University, Beni Suef 11787, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sherif M.","family":"Amr","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed","family":"Al-Feeshawy","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehab A. A.","family":"El-Shaarawy","sequence":"additional","affiliation":[{"name":"Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khaled","family":"Abdelghany","sequence":"additional","affiliation":[{"name":"Advanced Manufacturing Division, The Central Metallurgical Research and Development Institute, Cairo 11421, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ahmed Abdel","family":"Moghny","sequence":"additional","affiliation":[{"name":"Mechanical Design and Production Department, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Abdel-Wahed","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Faculty of Medicine, Cairo University, Giza 12613, Egypt"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative versus nonoperative care of displaced midshaft clavicular fractures: A meta-analysis of randomized clinical trials","volume":"94","author":"McKee","year":"2012","journal-title":"J. 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