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{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,7,4]],"date-time":"2023-07-04T16:10:54Z","timestamp":1688487054091},"reference-count":13,"publisher":"Springer Science and Business Media LLC","issue":"7","license":[{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T00:00:00Z","timestamp":1657756800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"name":"Universit\u00e4tsklinikum Leipzig"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Unfallchirurgie"],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:sec>\n <jats:title>Hintergrund<\/jats:title>\n <jats:p>Laterale Clavicula-Frakturen k\u00f6nnen abh\u00e4ngig von der Klassifikation sowohl konservativ oder operativ behandelt werden. F\u00fcr die operative Versorgung sind verschiedene Operationstechniken beschrieben. Die Wahl einer Operationstechnik ist f\u00fcr das funktionelle Outcome und f\u00fcr einen komplikationsarmen Heilungsverlauf ausschlaggebend.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Fallbeschreibung<\/jats:title>\n <jats:p>Vorgestellt wird der Fall einer Patientin mit einer sekund\u00e4ren Dislokation zweier K\u2011Dr\u00e4hte nach K\u2011Draht-Osteosynthese. Im Rahmen einer sekund\u00e4ren Dislokation kam es zu einem Wandern des Drahtes in das Mediastinum und das Lungengewebe direkt unter den Aortenbogen. Zur Verhinderung weiterer Verletzungen konnte das chirurgische Fremdmaterial \u00fcber eine uniportale videoassistierte Thorakoskopie geborgen werden.<\/jats:p>\n <\/jats:sec><jats:sec>\n <jats:title>Zusammenfassung<\/jats:title>\n <jats:p>Bei der Versorgung von lateralen Clavicula-Frakturen sollte auf eine instabile K\u2011Draht-Osteosynthese unbedingt verzichtet werden. Bei Vorliegen von sicheren Operationsverfahren (Plattenosteosynthese, Hybridversorgungen) sollten diese bevorzugt werden. Bei Durchf\u00fchrung prim\u00e4rer oder additiver K\u2011Draht-Osteosynthesen ist auf deren Sicherung z.\u202fB. durch Umbiegen zu achten, da es bei fehlerhafter Versorgung zu erheblichen Komplikationen, wie Pseudarthrose oder sekund\u00e4ren Dislokation des Materials, kommen kann.<\/jats:p>\n <\/jats:sec>","DOI":"10.1007\/s00113-022-01217-5","type":"journal-article","created":{"date-parts":[[2022,7,14]],"date-time":"2022-07-14T09:04:55Z","timestamp":1657789495000},"page":"581-585","update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Combined intrapulmonary\/intramediastinal K-wire position after K-wire osteosynthesis of the clavicle","Kombinierte intrapulmonale\/intramediastinale K-Draht-Lage nach K-Draht-Osteosynthese an der Clavicula"],"prefix":"10.1007","volume":"126","author":[{"ORCID":"http:\/\/orcid.org\/0000-0001-6878-1059","authenticated-orcid":false,"given":"Yasmin","family":"Youssef","sequence":"first","affiliation":[]},{"given":"Peter","family":"Melcher","sequence":"additional","affiliation":[]},{"given":"Matthias","family":"Steinert","sequence":"additional","affiliation":[]},{"given":"Isabella","family":"Metelmann","sequence":"additional","affiliation":[]},{"given":"Pierre","family":"Hepp","sequence":"additional","affiliation":[]},{"given":"Jan","family":"Theopold","sequence":"additional","affiliation":[]}],"member":"297","published-online":{"date-parts":[[2022,7,14]]},"reference":[{"issue":"5","key":"1217_CR1","doi-asserted-by":"publisher","first-page":"452","DOI":"10.1067\/mse.2002.126613","volume":"11","author":"F Postacchini","year":"2002","unstructured":"Postacchini\u00a0F, Gumina\u00a0S, De Santis\u00a0P, Albo\u00a0F (2002) Epidemiology of clavicle fractures. 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