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Related Concept Videos

Design Consideration01:22

Design Consideration

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Designing a structure involves a series of considerations, primarily the material's ultimate strength, calculated through tests that measure changes under increased force until the material reaches its breaking point or limit. The ultimate load, where the material breaks, is divided by its original cross-sectional area, resulting in the ultimate normal stress or strength. The ultimate shearing stress is another significant factor taken into account.
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Transmission Line Design Considerations01:23

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Fractures: Bone Repair01:27

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Open channel flow, where a fluid flows with a free surface exposed to the atmosphere, is primarily governed by gravitational and surface effects, distinguishing it from closed conduit or pipe flow. In open channels such as rivers, canals, and artificial channels, energy analysis provides valuable insights into flow behavior and the relationship between depth, velocity, and slope.Specific Energy and Flow DepthIn open channel flow, the specific energy, E, combines the gravitational potential...
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Updated: Feb 8, 2026

Surgical Fixation of Sternal Fractures: Preoperative Planning and a Safe Surgical Technique Using Locked Titanium Plates and Depth Limited Drilling
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Clavicula fractures: considerations when plating.

Sune Larsson1

  • 1Department of Surgical Sciences, Orthopedics, Uppsala University, Uppsala, Sweden.

Injury
|June 23, 2018
PubMed
Summary
This summary is machine-generated.

Surgical treatment for clavicle shaft fractures has increased, but outcomes with internal fixation are inconsistent. Optimizing surgical approaches and plate placement can improve results and minimize complications for adult clavicle fractures.

Keywords:
AdultsClavicula fracturesComplicationsInternal fixationPlate fixation

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Area of Science:

  • Orthopedic Surgery
  • Trauma Management

Background:

  • Clavicle midshaft fracture treatment has shifted from conservative management to frequent surgical intervention in adults.
  • Recent analyses suggest that the outcomes of internal fixation for clavicle fractures are less consistent than previously believed.
  • This variability may stem from broadened surgical indications and a wider range of surgeons performing the procedures.

Purpose of the Study:

  • To review considerations for plating clavicle fractures to enhance outcomes and reduce complications.
  • To evaluate alternative surgical approaches and implant positioning for improved patient results.

Main Methods:

  • Review of current literature and surgical techniques for clavicle fracture fixation.
  • Discussion of traditional versus alternative incision types (horizontal vs. vertical).
  • Analysis of plate positioning (superior vs. anterior-inferior) and screw-plate system considerations.

Main Results:

  • Traditional horizontal incisions for clavicle plating carry a high risk of persistent anterior chest wall numbness.
  • An anterior-inferior plate position offers benefits such as improved soft tissue coverage and reduced hardware prominence.
  • Angle-stable screw-plate systems have not demonstrated a clear advantage in clavicle fractures, likely due to good patient bone quality.

Conclusions:

  • Optimizing surgical approach and plate placement is crucial for improving outcomes in clavicle fracture fixation.
  • Vertical incisions and anterior-inferior plate positioning may mitigate risks associated with traditional methods.
  • Current evidence does not strongly support the use of angle-stable systems for typical clavicle fractures.