{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T13:32:01Z","timestamp":1767706321394,"version":"3.45.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjectives: Optimal surgical fixation method for displaced distal clavicle fractures should not impose limitations on neighboring joint movements. We evaluated the results of surgical treatment of displaced distal clavicle fractures using locked distal radius plates.\\r\\nMethods: Displaced distal clavicle fractures of 14 consecutive patients (11 men, 3 women; mean age 30\u00b19 years; range 19 to 51 years) were treated using open reduction and locked distal radius plates. Before final fixation, one patient underwent K-wire fixation with tension band at another center, resulting in nonunion. Except for two cases with late presentation, the mean time to surgery was 5.3 days (range 1 to 17 days). According to the Neer classification, fresh fractures were type II in 10 patients and type III in three patients. Shoulder examinations and functional evaluations were made at 3, 6, and 12 months postoperatively. Functional assessment included the Modified Shoulder Rating Scale and Constant score.\\r\\nResults: All patients achieved full range of motion of the shoulder at six weeks postoperatively. The mean modified shoulder score was 18.7\u00b11.5 and the mean Constant score was 95.4\u00b13.0 at 12 months. None of the patients developed implant failure, loss of reduction, skin breakdown, or infection. \\r\\nConclusion: In selected acute fractures and nonunions of the distal clavicle, excellent clinical results are easily achievable with locked distal radius plate fixation because it allows early shoulder movements without necessitating implant removal.\n\n\u00d6zet\n\nAma\u00e7: Ayr\u0131\u015fmal\u0131 distal klavikula k\u0131r\u0131klar\u0131 i\u00e7in uygulanan cerrahi tedavinin kom\u015fu eklem hareketlerinde k\u0131s\u0131tlamaya yol a\u00e7mamas\u0131 gerekir. Bu \u00e7al\u0131\u015fmada, ayr\u0131\u015fmal\u0131 klavikula distal u\u00e7 k\u0131r\u0131klar\u0131nda kilitli distal radius u\u00e7 pla\u011f\u0131 kullanarak uygulad\u0131\u011f\u0131m\u0131z cerrahi tedavinin sonu\u00e7lar\u0131 de\u011ferlendirildi.\\r\\n\u00c7al\u0131\u015fma plan\u0131: \u00c7al\u0131\u015fmada, ayr\u0131\u015fmal\u0131 klavikula distal u\u00e7 k\u0131r\u0131\u011f\u0131 nedeniyle a\u00e7\u0131k d\u00fczeltme ve kilitli radius distal u\u00e7 pla\u011f\u0131 ile tedavi edilen ard\u0131\u015f\u0131k 14 hasta (11 erkek, 3 kad\u0131n; ort. ya\u015f 30\u00b19; da\u011f\u0131l\u0131m 19-51) incelendi. Bir hastaya daha \u00f6nce ba\u015fka bir merkezde K-teli ve gergi band\u0131 y\u00f6ntemiyle cerrahi uygulanm\u0131\u015f ve kaynama sa\u011flanamam\u0131\u015ft\u0131. \u0130ki olgu d\u0131\u015f\u0131nda, ameliyata kadar ge\u00e7en s\u00fcre ortalama 5.3 g\u00fcnd\u00fc (da\u011f\u0131l\u0131m 1-17 g\u00fcn). Yeni k\u0131r\u0131klar Neer s\u0131n\u0131flamas\u0131na g\u00f6re 10 olguda tip II, \u00fc\u00e7 olguda tip III olarak s\u0131n\u0131fland\u0131r\u0131ld\u0131. Omuz muayenesi ve i\u015flevsel de\u011ferlendirme ameliyat sonras\u0131 3, 6 ve 12. aylarda yap\u0131ld\u0131. \u0130\u015flevsel de\u011ferlendirmede De\u011fi\u015ftirilmi\u015f Omuz Puan\u0131 ve Constant omuz puan\u0131 kullan\u0131ld\u0131.\\r\\nSonu\u00e7lar: T\u00fcm olgularda ameliyat sonras\u0131 alt\u0131nc\u0131 haftada omuz ekleminde tam hareket a\u00e7\u0131kl\u0131\u011f\u0131 elde edildi. On ikinci aydaki de\u011fi\u015ftirilmi\u015f omuz puan\u0131 ortalamas\u0131 18.7\u00b11.5, Constant omuz puan\u0131 ortalamas\u0131 95.4\u00b13.0 bulundu. Hi\u00e7bir olguda plak vida yetersizli\u011fi, d\u00fczeltme kayb\u0131, yara a\u00e7\u0131lmas\u0131 veya enfeksiyon gibi komplikasyonlarla kar\u015f\u0131la\u015f\u0131lmad\u0131. \\r\\n\u00c7\u0131kar\u0131mlar: Distal radius kilitli pla\u011f\u0131, se\u00e7ilmi\u015f distal klavikula taze k\u0131r\u0131klar\u0131 ve kaynamamalar\u0131nda, cihaz\u0131n \u00e7\u0131kar\u0131lmas\u0131 gerekmeden, erken d\u00f6nemde aktif omuz hareketlerine izin verebilecek bir tespit sa\u011flamaktad\u0131r. Bu teknik kullan\u0131larak m\u00fckemmel klinik sonu\u00e7lar elde edilebilir.<\/jats:p>","DOI":"10.3944\/aott.2009.324","type":"journal-article","created":{"date-parts":[[2009,10,1]],"date-time":"2009-10-01T07:42:43Z","timestamp":1254382963000},"page":"324-330","source":"Crossref","is-referenced-by-count":14,"title":["An alternative fixation method for the treatment of unstable distal clavicle fractures: locked distal radius plate"],"prefix":"10.5152","volume":"43","author":[{"given":"Bulent","family":"Daglar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Onder","family":"M. Delialioglu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emre","family":"Minareci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bulent","family":"A. Tasbas","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenan","family":"Bayrakci","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ugur","family":"Gunel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,8]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2290\/2247","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T10:57:29Z","timestamp":1763463449000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,8]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2009,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2009.324","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"type":"electronic","value":"2589-1294"},{"type":"print","value":"1017-995X"}],"subject":[],"published":{"date-parts":[[2020,2,8]]}}}