{
  "abstract": "Purpose: To evaluate whether immediate weight bearing as tolerated (WBAT) following open reduction and internal fixation of clavicle fractures with a dual mini-fragmentation plate construct increases complications, implant failure, or worsens functional and patient-reported outcomes compared to a restricted weight-bearing protocol.\n\nMethods: Adult patients (≥ 18 years) who underwent open reduction and internal fixation of a clavicle fracture were retrospectively identified and stratified into restricted weight-bearing or weight bearing as tolerated (WBAT) cohorts. Cohorts were matched for demographic and injury characteristics. All WBAT fractures were treated with dual orthogonal mini-fragmentation plate fixation, whereas restricted weight-bearing fractures were treated with either single- or dual-plate fixation. Outcomes included complications (infection, wound dehiscence, hardware prominence, implant failure, and loss of reduction) and PROMIS Physical Function and Pain Interference scores.\n\nResults: Among 378 initial patients, 93 were included after propensity score matching: 62 in the restricted weight-bearing group and 31 in the WBAT group. Complication rates were similarly infrequent between groups (all p ≥ 0.326), with no fixation failures or deep surgical site infections occurring in the WBAT group.\n\nConclusions: Early weight bearing as tolerated may be safe following dual mini-fragmentation plate fixation of clavicle fractures, with comparable complication rates, union rates, and patient-reported outcomes to restricted weight-bearing protocols. These findings support the use of early mobilization in patients with rigid internal fixation constructs and may facilitate improved functional recovery and earlier return to activity.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Orthopaedic Surgery, University of Missouri, Columbia, USA",
    "School of Medicine, University of Missouri, Columbia, USA",
    "Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Australia"
  ],
  "article_type": "research article",
  "arxiv": null,
  "author_total": 7,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Andrew Monhollen"
    },
    {
      "affs": [
        1
      ],
      "name": "Lena Kolostov"
    },
    {
      "affs": [
        1
      ],
      "name": "Nash Kolb"
    },
    {
      "affs": [
        0
      ],
      "name": "Rown Parola"
    },
    {
      "affs": [
        0
      ],
      "name": "Anna Jacques"
    },
    {
      "affs": [
        2
      ],
      "name": "Wayne Hoskins",
      "orcid": "0000-0003-0608-3065"
    },
    {
      "affs": [
        0
      ],
      "name": "Douglas Haase",
      "orcid": "0000-0002-9477-9777"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/0z9zr4xnmqyg4.bib",
  "cited_by": 0,
  "doi": "10.1007/s00590-026-04959-9",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13696558/",
  "id": "0z9zr4xnmqyg4",
  "issns": [
    "1633-8065",
    "1432-1068"
  ],
  "landing_url": "https://doi.org/10.1007/s00590-026-04959-9",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Research"
    ],
    [
      "openalex",
      "2713|Shoulder and Clavicle Injuries"
    ]
  ],
  "openalex": "W7223554083",
  "pdf_url": "https://europepmc.org/articles/PMC13696558?pdf=render",
  "pmcid": "PMC13696558",
  "pmid": "42927535",
  "published": "2026-10-25",
  "publisher": null,
  "ris": "https://research.draconitic.com/paper/0z9zr4xnmqyg4.ris",
  "sources": [
    {
      "first_seen": "2026-10-30T12:17:53Z",
      "native_id": "PMC13696558",
      "source": "pmc",
      "url": "https://doi.org/10.1007/s00590-026-04959-9"
    },
    {
      "first_seen": "2026-10-30T12:21:18Z",
      "native_id": "MED:42927535",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42927535"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2713|Shoulder and Clavicle Injuries",
      "subfield": "epidemiology-public-health"
    }
  ],
  "title": "Immediate weight bearing after dual orthogonal plate fixation of clavicle fractures: a propensity-matched retrospective cohort study",
  "title_text": "Immediate weight bearing after dual orthogonal plate fixation of clavicle fractures: a propensity-matched retrospective cohort study",
  "type": "peer-reviewed",
  "updated_at": "2026-10-30T12:33:52Z",
  "url": "https://research.draconitic.com/paper/0z9zr4xnmqyg4",
  "venue": "European Journal of Orthopaedic Surgery & Traumatology",
  "versions": []
}