{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,8]],"date-time":"2026-07-08T03:17:16Z","timestamp":1783480636512,"version":"3.55.0"},"reference-count":0,"publisher":"AVES YAYINCILIK A.\u015e.","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AOTT"],"abstract":"<jats:p>Abstract\n\nObjective: The aim of the study was to present the results of osteosynthesis with elastic expandable intramedullary nail for clavicle fractures.\n\nMethods: The study included 17 patients (11 males, 6 females; mean age 36.4 years, range: 21 to 54 years) who underwent surgery for a displaced clavicle fracture and had a shortening of more than 2 cm. The Constant Score and DASH (Disabilities of The Arm, Shoulder and Hand) scoring were used to determine the functional status of the patients.\n\nResults: Mean operation time was 30.4 (range: 25 to 42) minutes and mean follow-up period was 10.3 (range: 8 to 19) months. Mean union time was 15.8 (range: 9 to 20) weeks. A superficial infection was treated with wound debridement and antibiotherapy in one patient. No patient suffered from neurovascular compromise, deep infection or implant irritation. Implant fracture developed at months after surgery in one patient treated for Type B1 clavicle fracture and healed without any other intervention. There was no statistically significant shortening (p&gt;0.05). In the final follow-up, the mean Constant Score was 94.3 (range: 86 to 97), and mean DASH score was 11.8 (range: 7.3 to 17.4).\n\nConclusion: Expandable elastic locking intramedullary nail appears to provide minimal complication and high success rate for the surgical treatment of non-comminuted displaced clavicle shaft fractures. Additional studies with large series are necessary for further investigation.\n\n \n\n\u00d6zet\n\n \n\nAma\u00e7: \u00c7al\u0131\u015fmam\u0131zda yeti\u015fkin orta cisim klavikula k\u0131r\u0131klar\u0131nda ekspanse olabilen esnek kilitli intrame\u00acd\u00fcller \u00e7ivi uygulanan olgular\u0131n sonu\u00e7lar\u0131 de\u011ferlendirmek ama\u00e7lanm\u0131\u015ft\u0131r.\n\n\u00c7al\u0131\u015fma plan\u0131: Tamamen ayr\u0131\u015fm\u0131\u015f ve en az iki cm k\u0131sal\u0131\u011f\u0131 bulunan ve ekspanse olabilen esnek kilitli intramed\u00fcller \u00e7ivi ile tespit yap\u0131lan 11 erkek ve 6 kad\u0131n hasta \u00e7al\u0131\u015fmaya dahil edildi. 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.\n\nBulgular: Ortalama ameliyat s\u00fcresi 30.4 (25-42) dakika idi. Ortalama takip s\u00fcresi 10.3 (8-19) ay, ortalama kaynama s\u00fcresi ise 15.8 (9-20) hafta idi. Bir hastada y\u00fczeyel enfeksiyon g\u00f6r\u00fcld\u00fc. Hi\u00e7bir hastada derin enfeksiyon g\u00f6r\u00fclmedi. Hi\u00e7bir hastada n\u00f6rovask\u00fcler komplikasyon ile kar\u015f\u0131la\u015f\u0131lmad\u0131. Hi\u00e7bir hastada implant migrasyonu ve irritasyonu ile kar\u015f\u0131la\u015f\u0131lmad\u0131. Bir hastada uygulama hatas\u0131na ba\u011fl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen instabiliteye yol a\u00e7mayan implant k\u0131r\u0131lmas\u0131 g\u00f6r\u00fcld\u00fc. Sa\u011flam tarafla kar\u015f\u0131la\u015ft\u0131\u00acr\u0131ld\u0131\u011f\u0131nda hi\u00e7bir hastada anlaml\u0131 k\u0131sal\u0131k g\u00f6r\u00fclmedi. Hastalar\u0131n son kontrollerinde ortalama Constant skoru 94.3 (86-97), DASH skoru ise 11.8 (7.3-17.4) idi.\n\n\u00c7\u0131kar\u0131mlar: Ekspanse olabilen esnek kilitli intramed\u00fcller \u00e7ivi ayr\u0131\u015fm\u0131\u015f orta diafiz klavikula k\u0131r\u0131klar\u0131n\u00acda minimal invaziv olarak uygulanabilen, d\u00fc\u015f\u00fck komplikasyon oran\u0131 olan ve iyi fonksiyonel sonu\u00e7lar elde edilmesini sa\u011flayan bir y\u00f6ntem olarak g\u00f6r\u00fclmektedir. Daha geni\u015f serileri i\u00e7eren kar\u015f\u0131la\u015ft\u0131rmal\u0131 \u00e7al\u0131\u015fmalar\u0131n gereklili\u011fi a\u015fikard\u0131r.<\/jats:p>","DOI":"10.3944\/aott.2015.14.0070","type":"journal-article","created":{"date-parts":[[2015,7,9]],"date-time":"2015-07-09T02:32:11Z","timestamp":1436409131000},"page":"13-17","source":"Crossref","is-referenced-by-count":2,"title":["Results of midshaft clavicle fractures treated with expandable elastic and locking intramedullary nails"],"prefix":"10.5152","volume":"49","author":[{"given":"Sinan","family":"Zehir","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Turgut","family":"Akgul","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Regayip","family":"Zehir","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\/2933\/2886","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T11:10:14Z","timestamp":1763464214000},"score":1,"resource":{"primary":{"URL":"https:\/\/aott.org.tr\/index.php\/pub\/article\/view\/2933"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2,7]]},"references-count":0,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2015,1,1]]}},"URL":"https:\/\/doi.org\/10.3944\/aott.2015.14.0070","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]]}}}