{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T10:07:55Z","timestamp":1781518075212,"version":"3.54.1"},"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\nObjective: We aimed to evaluate the results and complications of open reduction and internal fixation by locked anatomic plates in adult midshaft clavicular fractures.\\r\\nMethods: Sixteen patients (11 males, 5 females; mean age: 39.6 years) who underwent open reduction and internal fixation with locked anatomic plate for displaced-comminuted midshaft clavicular fractures and were followed-up for at least one year were reviewed retrospectively. Complications in the early and late postoperative periods and functional scores according to the Constant and DASH scoring systems from the latest follow-up were evaluated.\\r\\nResults: Mean follow-up period was 24.6 (range: 12 to 52) months and mean union time was 13.3 (range: 10 to 23) weeks. None of the patients had superficial and\/or deep infections in the early postoperative period or neurovascular complications. Two (12.5%) patients had implant irritation. In two (12.5%) patients, implant failure was detected in the late postoperative period. Delayed union was suspected in these patients and they were operated with longer plate and grafting in the 4th month. At the final follow-up, none of the patients had nonunion or malunion and the mean Constant and DASH scores were 85.5 and 12.8, respectively. Constant scores in patients with complications (p=0.007) and DASH scores in patients with no complications (p=0.001) were significantly lower. \\r\\nConclusion: Fixation with locked anatomic plates in displaced midshaft clavicular fractures has lower complication rates. Possible postoperative complications are generally associated with implant irritation and failure. These problems can be avoided with the development in implant technology and new implant designs.\n\n\u00d6zet\n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda eri\u015fkin klavikula orta diafiz k\u0131r\u0131klar\u0131nda a\u00e7\u0131k red\u00fcksiyon ve kilitli anatomik plaklarla uygulanan internal tespit y\u00f6nteminin sonu\u00e7lar\u0131n\u0131 ve komplikasyonlar\u0131n\u0131 de\u011ferlendirmeyi ama\u00e7lad\u0131k.\\r\\n\u00c7al\u0131\u015fma plan\u0131: Ayr\u0131\u015fm\u0131\u015f-par\u00e7al\u0131 klavikula orta diafiz k\u0131r\u0131klar\u0131na y\u00f6nelik a\u00e7\u0131k red\u00fcksiyon ve kilitli anatomik plakla tespit uygulanm\u0131\u015f en az bir y\u0131l takipli toplam 16 hasta (11 erkek, 5 kad\u0131n; ortalama ya\u015f 39.6 y\u0131l) geriye d\u00f6n\u00fck de\u011ferlendirildi. Hastalar\u0131n son takiplerinde erken ve ge\u00e7 d\u00f6nem komplikasyonlar\u0131 ve Constant ve DASH skorlama sistemine g\u00f6re fonksiyonel skorlar\u0131 de\u011ferlendirildi.\\r\\nBulgular: Olgular\u0131n ortalama takip s\u00fcresi 24.6 (da\u011f\u0131l\u0131m: 12-52) ay, ortalama kaynama s\u00fcresi 13.3 (da\u011f\u0131l\u0131m: 10-23) hafta idi. Erken d\u00f6nemde hi\u00e7bir hastan\u0131n yara yerinde y\u00fczeysel ve\/veya derin enfeksiyon g\u00f6r\u00fclmedi ve n\u00f6rovask\u00fcler komplikasyonla kar\u015f\u0131la\u015f\u0131lmad\u0131. \u0130ki (%12.5) hastada implant irritasyonu tespit edildi. Ge\u00e7 d\u00f6nemde iki (%12.5) hastada implant yetmezli\u011fiyle kar\u015f\u0131la\u015f\u0131ld\u0131. Bu hastalarda kaynama gecikmesi oldu\u011fu d\u00fc\u015f\u00fcn\u00fclerek 4. ayda daha uzun plakla tespit ve otojen grefonaj uyguland\u0131. Son takiplerde kaynamama ve hatal\u0131 kaynama sorunu olan hasta yoktu ve ortalama fonksiyonel skorlar\u0131 Constant skorlamas\u0131na g\u00f6re 85.5, DASH skorlamas\u0131na g\u00f6re 12.8 idi. Constant skorlamas\u0131 komplikasyonlu hastalarda (p=0.007), DASH skorlamas\u0131 ise komplikasyonsuz hastalarda (p=0.001) istatistiksel olarak anlaml\u0131 derecede d\u00fc\u015f\u00fck idi.\\r\\n\u00c7\u0131kar\u0131mlar: Ayr\u0131\u015fm\u0131\u015f orta diafiz klavikula k\u0131r\u0131klar\u0131nda kilitli anatomik plaklarla uygulanan tespitlerde komplikasyon oran\u0131 d\u00fc\u015f\u00fckt\u00fcr. Cerrahi sonras\u0131 ya\u015fanabilecek komplikasyonlar genellikle implant irritasyonu ve implant yetmezli\u011fi ile ili\u015fkilidir. \u0130mplant teknolojisindeki geli\u015fmeler ve yeni implant tasar\u0131mlar\u0131yla bu sorunlar\u0131n \u00f6n\u00fcne ge\u00e7ilebilir.<\/jats:p>","DOI":"10.3944\/aott.2012.2715","type":"journal-article","created":{"date-parts":[[2012,9,15]],"date-time":"2012-09-15T00:58:14Z","timestamp":1347670694000},"page":"237-242","source":"Crossref","is-referenced-by-count":12,"title":["Locked anatomic plate fixation in displaced clavicular fractures"],"prefix":"10.5152","volume":"46","author":[{"given":"Turhan","family":"Ozler","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melih","family":"Guven","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdurrahman","family":"Onur Kocadal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cagatay","family":"Ulucay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tahsin","family":"Beyzadeoglu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Faik","family":"Altintas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3111","published-online":{"date-parts":[[2020,2,7]]},"container-title":["Acta Orthopaedica et Traumatologica Turcica"],"original-title":[],"link":[{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/download\/2619\/2575","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:26:59Z","timestamp":1763465219000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2619"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2012,1,4]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2012.2715","relation":{},"ISSN":["2589-1294","1017-995X"],"issn-type":[{"value":"2589-1294","type":"electronic"},{"value":"1017-995X","type":"print"}],"subject":[],"published":{"date-parts":[[2020,2,7]]}}}