{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:02:08Z","timestamp":1761807728528},"reference-count":32,"publisher":"SLACK, Inc.","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Orthopedics"],"published-print":{"date-parts":[[2012,2]]},"abstract":"<jats:p>A retrospective study was conducted to evaluate the role of autologous bone graft in treating atrophic nonunion of midshaft clavicle fracture with a limited-contact dynamic compression plate (LC-DCP). Between 1995 and 2008, sixty cases of atrophic nonunion of midshaft clavicle fractures were managed with open reduction and internal fixation with an LC-DCP. The cases were separated into 2 groups to evaluate the effect of autologous bone graft in the enhancement of bone union. In group 1 (n=24), autologous bone graft was not used; in group 2 (n=36), autologous bone graft was used. Pre- and postoperative management were the same in both groups. Radiographic results and functional outcomes according to the Quick Disability of Arm, Shoulder, and Hand score were evaluated. Average follow-up was 25.2 months (range, 24\u201348 months).<\/jats:p>\n          <jats:p>\n            No statistically significant difference was found between the 2 groups regarding demography and preoperative functional scores (\n            <jats:italic>P<\/jats:italic>\n            &gt;.05). Operative time and hospital stay were statistically significant longer in group 2 (\n            <jats:italic>P<\/jats:italic>\n            &lt;.001), and donor site pain was apparent in group 2. All 60 patients had uneventful union. No statistically significant differences were found between the 2 groups regarding union time (average, 9.8 weeks in group 1 and 9.2 weeks in group 2) and postoperative functional scores (\n            <jats:italic>P<\/jats:italic>\n            &gt;.05).\n          <\/jats:p>\n          <jats:p>Limited-contact dynamic compression plate fixation is an effective method for treating atrophic nonunion of midshaft clavicle fractures. Autologous bone graft was not needed.<\/jats:p>","DOI":"10.3928\/01477447-20120123-16","type":"journal-article","created":{"date-parts":[[2012,2,6]],"date-time":"2012-02-06T15:14:33Z","timestamp":1328541273000},"source":"Crossref","is-referenced-by-count":10,"title":["Role of Autologous Bone Graft in the Surgical Treatment of Atrophic Nonunion of Midshaft Clavicular Fractures"],"prefix":"10.3928","volume":"35","author":[{"given":"Hui-Kuang","family":"Huang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao-Ching","family":"Chiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu-Ping","family":"Su","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chi-Kuang","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fang-Yao","family":"Chiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chien-Lin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tain-Hsiung","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2308","reference":[{"issue":"300","key":"e_1_3_1_2_2","first-page":"127","article-title":"The incidence of fractures of the clavicle","author":"Nordqvist A","year":"1994","unstructured":"Nordqvist A, Petersson C. 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