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Depending on the severity of the injury and the involvement of the soft tissue envelope, clavicle fractures can be treated operatively or non-operatively. In the past, displaced fractures of the clavicle shaft in adults have been treated non-operatively. However, the rate of nonunion following non-operative treatment seems to be higher than previously reported. In addition, publications reporting better functional outcomes following operative treatment are increasing. In recent years this has led to a paradigm shift towards an increase of operative fracture treatment. The aim of this review article was to summarize the currently available evidence on the treatment of clavicle fractures. Classifications, indications, and treatment options for different fracture patterns of the medial, midshaft, and lateral clavicles are presented and discussed., Competing Interests: Declaration of Competing Interest All authors have significantly contributed to the work and the writing of the manuscript. None of the authors received benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this manuscript., (Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.)

Today's orthopedic surgery could not be imagined without intraoperative x-ray-based imaging. This enables surgeons to assess operative interim steps as well as the result before wound closure and finishing the procedure. Although there have been mobile C-arms used for decades, there are recent advances that do not only affect the quality of the imaging itself but also the way, the information is processed and presented. These very exciting developments will change the integration of imaging into the surgical workflows, giving options of augmented reality, reduction of radiation dose, automatized acquisition and analysis of images and low-level guidance in procedures. This paper gives a review of current innovations and possible future trends in fluoroscopic 2D and 3D imaging., Competing Interests: Declaration of Competing Interest HK is a paid consultant for Brainlab AG, Munich, Germany and medPhoton GmbH, Salzburg, Austria. OT is a paid consultant for Stryker Inc., Kalamazoo, USA and ITS. GmbH, Graz, Austria, (Copyright © 2022. Published by Elsevier Ltd.)

Intraoperative imaging has been advanced substantially over the last decades. It supports localization of the region of interest, verification of the preoperatively classified fracture pattern, identification of correct insertion point of the implant, placement of instruments and fixation material, and verification of correct fracture reduction and implant positioning. While conventional fluoroscopic 2D imaging remains the gold standard in intraoperative imaging, critical anatomical regions are predestined for intraoperative 3D imaging. Additional options such as perioperative virtual planning, simulation, and surgical training, 3D printing techniques and 3D augmented reality visualization may potentially open new windows to improve surgical results in fracture care. This manuscript presents an update on current and upcoming imaging techniques in orthopaedic and trauma surgery focusing on technical advances for decreasing malreduction, malalignment, and malposition, as well as tips and tricks for daily surgical practice in order to improve clinical outcomes and patients' and surgeons' safety., Competing Interests: Conflict of Competing Interest None of the authors received benefits for personal or professional use from a commercial party related directly or indirectly to the subject of this manuscript., (Copyright © 2019 Elsevier Ltd. All rights reserved.)

This study develops analytical approaches using comprehensive heart-cut multidimensional gas chromatography (H/C MDGC) to experimentally investigate effects of concentration and temperature on peak shapes and on kinetic analysis of E/Z isomerisation of oximes which undergo various extents of interconversion on 1 D and 2 D separation columns. Different stationary phase combinations were investigated. An SLB-IL76 1 D column results in good separation of the isomers but with negligible interconversion ( 1 D sep ). Precise targeted heart-cuts (H/C; 3-15 s windows) and cryogenic trapping of selected sections eluting from this 1 D column allows well controlled E/Z isomer ratios to be delivered to a 2 D poly(ethyleneglycol) (PEG) phase column. This phase catalyses oxime interconversion, with separation; this is termed 2 D inter . This column set describes a 1 D sep  ×  2 D inter arrangement. The interconversion forward rate constant (k 1 UE , calculated by using DCXplorer) was found to be independent of the %E isomer (i.e. first order kinetics); k 1 UE increased at higher temperature (increased Gibbs activation energies, ΔG app ). In addition, a long 1 D SLB-IL111 column gave oxime separation with interconversion ( 1 D inter ). Comprehensive multiple H/C of the zone performed on the 2 D PEG ( 2 D inter ) at 40, 60 and 80 °C resulted in a 2D presentation ( 1 D inter  ×  2 D inter ) with a unique rectangular display of interconversion from each H/C pulse with varied isomer concentration ratios. Data for k 1 UE from 1DGC analysis suggests underestimation of k 1 UE on 1 D inter SLB-IL111 from the 2D result. The k 1 UE value on 2 D inter PEG column is more reliably evaluated by summation of all the 2 D inter profiles rather than that obtained from the average value for the individual H/C pulses., (Copyright © 2019 Elsevier B.V. All rights reserved.)

The development of fast and precise measurement techniques for process analytical technology is important to operate chemical processes safely and efficiently. For quantitative measurements of multiple components at a trace level, often gas chromatographic methods are used which have a response time of several minutes or of up to one hour. For fast changing processes, this can be too slow for efficient control. For reducing the dead time of a control loop by increasing the measurement frequency, a multiplexing gas chromatography (mpGC) technique for a chromatographic system exhibiting a systematic non-linear response has been developed. For mpGC, superimposed chromatograms are measured by injecting consecutive samples before all components of previous samples have eluted from the column. The deconvolution of a superimposed chromatogram yields a computed chromatogram which is an average over the single chromatograms forming the superimposed chromatogram. Such a computed chromatogram typically shows so called correlation noise depending on the degree by which the single chromatograms forming the superimposed chromatogram will differ from each other (non-linear response). A technique is presented to calibrate the convolution matrix in order to suppress correlation noise introduced by systematic errors of the chromatographic system. The remaining correlation noise in the computed chromatogram is then exclusively caused by changing concentrations in the sample stream. For the method presented here, the sample is injected five times during the run time of a single chromatogram. The computed chromatogram is obtained three times within this timespan while representing each time an averaged chromatogram over the last five injections. Therefore, the sample throughput is increased by a factor of three compared to conventional GC., (Copyright © 2019 Elsevier B.V. All rights reserved.)

Hadamard encoding, utilizing pseudo-random injection sequences with n-bit (2 n -1) elements, is applied in analytical sciences to enhance the signal-to-noise ratio (S/N) of weak analyte signals. We have developed a software approach that allows using Hadamard encoding on standard HPLC systems. This strategy is only limited by the number of instructions that can be transmitted to the autosampler and its performance degrades if an accumulation of chromatographic irregularities occurs while applying long modulation sequences. Here we demonstrate that such sequences (>4000 elements) can be subdivided into suitable subsequences, which can be independently executed. The measured subchromatograms are subsequently realigned and deconvoluted yielding a chromatogram with increased S/N. This opens an avenue to achieve unprecedented sensitivity gains. In the analysis of highly diluted nucleoside samples an S/N enhancement of up to 30-fold was observed. Furthermore, we applied the method to a sample containing the antibiotic drug fidaxomicin and found a significant sensitivity improvement that strongly depends on the applied elution conditions., (Copyright © 2018 Elsevier B.V. All rights reserved.)

The separation and analysis of complex monosaccharide mixtures is highly challenging and requires typically carefully selected derivatization procedures to avoid changes in the sample composition. Here we present in a comparative study several single- and two-step derivatization approaches for LC and GC separations using a set of reference compounds ranging from C1 building block such as formaldehyde to C6 monosaccharides. Separation conditions have been optimized resulting in the simultaneous separation of 15 unbranched aldoses. By parallel derivatization using hydroxylamine hydrochloride (HACl)/ N,O-bis(trimethylsilyl)trifluoroacetamide (BSTFA) and O-ethylhydroxylamine hydrochloride (EtOx)/ N,O-bis(trimethylsilyl)trifluoroacetamide (BSTFA) and comparative GC measurements we developed a protocol for the unambiguous identification and separation of aldoses, ketoses, alditols and aldonic acids, which commonly occur in complex sugar mixtures as reaction by-products or decomposition products. In particular this procedure helps to deconvolute overlapping analytes and facilitates quantification. Additionally, the method presented here has been investigated in regard to storage life, detection limits, quantification and MS analysis. The broad applicability of this method to different sample matrices is shown for the analysis of food samples and complex aldol reaction mixtures in the formose reaction, which is of great relevance in the context of the origin of life., (Copyright © 2018 Elsevier B.V. All rights reserved.)

Averaging of chromatograms can lead to enhancement of signal to noise ratio (S/N) in proportion to the square root of the number of measurements. Although the general principle has been known for decades, chromatogram averaging is almost never used in current pharmaceutical research. In this study we explore the utility of this approach, showing it to be a simple and easily accessible method for boosting sensitivity for quantification of minor components and trace impurities, where current techniques deliver insufficient S/N., (Copyright © 2016 Elsevier B.V. All rights reserved.)

Increasing sensitivity without further preconcentration steps is a major challenge in separation sciences. In this study a macro control approach that allows the implementation of Hadamard encoding on standard HPLC instrumentation was applied to the analysis of polysiloxane and polystyrene polymers by gel permeation chromatography. Here, the use of pseudo-random modulation sequences with 1023 elements (512 sample injections) improved the signal-to-noise ratio (S/N) by up to an order of magnitude. Comparison with conventional single injection confirmed the linearity and accuracy of the deconvolution process for the whole mass range of the column., (Copyright © 2016 Elsevier B.V. All rights reserved.)

The interconversion of cis and trans isomers of dipeptides containing C-terminal proline was studied by dynamic chromatography on zwitterionic chiral stationary phases at temperatures ranging from -15°C to +45°C The cis-trans isomers could be separated below 0°C and above 0-10°C plateau formation and peak coalescence phenomena occurred, which is characteristic for a dynamic process at the time-scale of partitioning. At and above room temperature, full coalescence was observed, which allowed separations of enantiomers without interference from interconversion effects. Analysis of the dynamic elution profiles of the interconverting peptides allowed the determination of isomerization rate constants and thermodynamic activation parameters (isomerization enthalpy, entropy and activation energy). In accordance with established results, isomerization rates and thermodynamic parameters were found to depend on the nature of the N-terminal amino acid. Isomerization barriers were only slightly lower than values determined with other methods but significant differences in the relative contributions of the activation enthalpy and entropy as well as isomerization rates pointed toward selector-moderated isomerization dynamics., (Copyright © 2013 Elsevier B.V. All rights reserved.)

Novel 3-(perfluoroalkanoyl)-(1R)-camphorate nickel complexes immobilized to poly(dimethylsiloxane) phases are presented. Immobilized 3-(perfluoroalkanoyl)-(1R)-camphorate nickel complexes with a trifluoromethyl (CF(3); nickel(II)-bis[(1R,4S)-3-trifluoromethanoyl-10-propylenoxycamphor]-polysiloxane Ni(tfpc)(2)@PS) and a heptafluoropropyl-substituent (C(3)F(7); nickel(II)-bis[(1R,4S)-3-heptafluorobutanoyl-10-propylenoxycamphor]-polysiloxane Ni(hfpc)(2)@PS) were synthesized, characterized and immobilized to polysiloxane. Ni(hfpc)(2)@PS was immobilized with a selector content of 38% and their enantioseparation ability was compared to selector concentrations of 4% and 20%. The influence of the perfluorinated moiety as well as the effect of the selector concentration on enantioseparations were investigated. Based on different functionalized organic compounds the quality of enantioseparation was analyzed and compared., (Copyright © 2012 Elsevier B.V. All rights reserved.)

Combination of information technology and separation sciences opens a new avenue to achieve high sample throughputs and therefore is of great interest to bypass bottlenecks in catalyst screening of parallelized reactors or using multitier well plates in reaction optimization. Multiplexing gas chromatography utilizes pseudo-random injection sequences derived from Hadamard matrices to perform rapid sample injections which gives a convoluted chromatogram containing the information of a single sample or of several samples with similar analyte composition. The conventional chromatogram is obtained by application of the Hadamard transform using the known injection sequence or in case of several samples an averaged transformed chromatogram is obtained which can be used in a Gauss-Jordan deconvolution procedure to obtain all single chromatograms of the individual samples. The performance of such a system depends on the modulation precision and on the parameters, e.g. the sequence length and modulation interval. Here we demonstrate the effects of the sequence length and modulation interval on the deconvoluted chromatogram, peak shapes and peak integration for sequences between 9-bit (511 elements) and 13-bit (8191 elements) and modulation intervals Δt between 5 s and 500 ms using a mixture of five components. It could be demonstrated that even for high-speed modulation at time intervals of 500 ms the chromatographic information is very well preserved and that the separation efficiency can be improved by very narrow sample injections. Furthermore this study shows that the relative peak areas in multiplexed chromatograms do not deviate from conventionally recorded chromatograms., (Copyright © 2010 Elsevier B.V. All rights reserved.)

Highly efficient and sophisticated separation techniques are available to analyze complex compound mixtures with superior sensitivities and selectivities often enhanced by a 2nd dimension, e.g. a separation technique or spectroscopic and spectrometric techniques. For enantioselective separations numerous chiral stationary phases (CSPs) exist to cover a broad range of chiral compounds. Despite these advances enantioselective separations can become very challenging for mixtures of stereolabile constitutional isomers, because the on-column interconversion can lead to completely overlapping peak profiles. Typically, multidimensional separation techniques, e.g. multidimensional GC (MDGC), using an achiral 1st separation dimension and transferring selected analytes to a chiral 2nd separation are the method of choice to approach such problems. However, this procedure is very time consuming and only predefined sections of peaks can be transferred by column switching to the second dimension. Here we demonstrate for stereolabile 1,2-dialkylated diaziridines a technique to experimentally deconvolute overlapping gas chromatographic elution profiles of constitutional isomers based on multiple-reaction-monitoring MS (MRM-MS). The here presented technique takes advantage of different fragmentation probabilities and pathways to isolate the elution profile of configurational isomers., (Copyright 2009 Elsevier B.V. All rights reserved.)

The software program DCXplorer is introduced to directly access interconversion rate constants in dynamic chromatography and electrophoresis. The program utilizes the unified equation of chromatography which can evaluate reaction rate constants of all kinds of first order reactions of processes taking place during a separation process. Evaluations with DCXplorer are facilitated by a graphical user interface which allows zooming into the area of interest of an interconversion profile and calculating reaction rate constants without a time consuming simulation process. DCXplorer was applied to determine the enantiomerization barrier of the diuretic drug chlorthalidone by pressure supported dynamic capillary electrokinetic chromatography (DEKC) under acidic conditions at pH 5.00 and pH 3.75. Activation parameters DeltaH(++) and DeltaS(++) were obtained from temperature dependent measurements between 15.0 and 35.0 degrees C in 5 K steps at pH 3.75 and between 30.0 and 50.0 degrees C in 10K steps at pH 5.00.

Discovering highly efficient catalysts is of great scientific and economical interest. Advances in high-throughput assays in combination with sophisticated analytical techniques have increased the rapidity with which catalysts can be identified and optimized. Understanding how kinetics in the mechanism of catalysis is controlled by structural parameters is essential for a directed design of catalysts. To identify such rate-controlling elementary steps and to develop and refine models, comprehensive experimental kinetic data of a broad variety of substrates are necessary. In the present article concepts of high-throughput screening techniques in catalysis using gas chromatography are reviewed in a survey covering the period from 1998 to 2007. To cover also the origins of concepts and groundbreaking experiments in this research area milestones going back to 1950 are also reviewed. The first part of the review will focus on off-line gas chromatographic analysis, the second part on on-line gas chromatographic analysis covering sequential, parallelized and high-throughput multiplexing gas chromatography. The third part presents recent advances in the integration of chemical transformation and analysis in gas chromatography. The present review article describes the state-of-the-art, scope and limitations, and applications of these different high-throughput screening approaches.

Comprehensive two-dimensional gas chromatography (GC x GC) is shown to provide information on dynamic molecular behaviour (interconversion), with the interconversion process occurring on both columns in the coupled-column experiment. The experiment requires suitable adjustment of both experimental conditions and relative dimensions of each of the columns. In this case, a longer column than normally employed in GC x GC allows sufficient retention duration on the second column, which permits the typical plateau-shape recognised for the interconversion process to be observed. The extent of interconversion depends on prevailing temperature, retention time, and the phase type. Polyethylene glycol-based phases were found to result in high interconversion kinetics, although terephthalic acid-terminated polyethylene glycol had a lesser extent of interconversion. Much less interconversion was seen for phenyl-methylpolysiloxane and cyclodextrin phases. This suggests that for the oximes, interconversion largely occurs in the stationary phase. Examples of different extents of interconversion in both dimensions are shown, including peak coalescence on the first column with little interconversion on the second column.

The dynamic chromatographic study of interconversion of E and Z forms of oximes has been investigated by using a novel cryogenic modulation method in a two-dimensional gas chromatographic array. The primary column is a conventional capillary GC column on which the molecular interconversion proceeds. In this case, the molecular dynamical process leads to a peak profile describing the kinetics and thermodynamics of the interconverting molecules during its chromatographic elution. Thus an interconversion region intercedes the elution of the individual stereoisomers of the reaction. Since the molecules are isomers, classical molecular identification methods such as gas chromatography-mass spectrometry are unable to study the individual instantaneous amounts of each of the compounds. Hence the infinitesimal profiles of interconversion along the entire column have never been experimentally observed; rather the total profile is normally subjected to mathematical modelling studies in order to match experiment with theory, and to gain the kinetic parameters of the process. In the present study, an instantaneous ratio of the individual isomers can be found during the chromatographic elution by direct measurement. This is achieved by using a cryogenic zone focussing process, with rapid longitudinal modulation of a cold trap and continual pulsing of collected zones into a fast-analysis high-resolution capillary column on which isomer interconversion is minimized. The data can be displayed as a two-dimensional contour plot to demonstrate the individual isomer profiles. The two-dimensional analysis also allows easy measurement of the peak ratios of the two isomers which is an indicator of the extent of interconversion that has taken place. Two model systems, acetaldoxime and butyraldoxime, were chosen to illustrate the use of the cryogenic modulation procedure. It is anticipated that the procedure could be applied to other molecules which exhibit gas-phase isomerizations or reactions.

An approximation function for enantioselective dynamic chromatography of racemic mixtures of interconverting enantiomers has been derived that allows the direct calculation of enantiomerization rate constants (k1 and k(-1)) and Gibbs activation energies of enantiomerization, deltaG++ , from chromatographic parameters, i.e., retention times of the enantiomers A and B ((t(A)R and t(B)R), peak widths at half height (WA and wB) and the relative plateau height (hplateau), without computer simulation. The reaction rate constants of enantiomerization, k(-1), obtained with this approximation function, have been validated by comparison with a simulated dataset of 15,625 chromatograms. The mean, standard deviation and confidence interval show a high correlation between the approximated and simulated rate constants. The average deviation from the Gibbs activation enthalpy of enantiomerization, deltaG++, has been estimated to be as small as about +/- 0.11 RT.

Enantioselective stopped-flow multidimensional gas chromatography (stopped-flow MDGC) is a fast and simple technique to determine enantiomerization (inversion) barriers in the gas phase in a range of delta G#gas(T)=70-200 kJ mol(-1). After complete gas-chromatographic separation of the enantiomers in the first column, gas phase enantiomerization of the heart-cut fraction of one single enantiomer is performed in the second (reactor) column at increased temperature and afterwards this fraction is separated into the enantiomers in the third column. From the observed de novo enantiomeric peak areas a(j), the enantiomerization time t and the enantiomerization temperature T, the enantiomerization (inversion) barrier delta G#gas(T) is determined and from temperature-dependent experiments, the activation enthalpy delta H#gas and the activation entropy delta S#gas are obtained. Enantiomerization studies on chiral 1-chloro-2,2-dimethylaziridine by stopped-flow MDGC yielded activation parameters of nitrogen inversion in the gas phase, i.e., delta G#gas(353 K)=110.5+/-0.5 kJ mol(-1), delta H#gas=71.0+/-3.8 kJ mol(-1) and delta S#gas=-109+/-11 J mol(-1) K(-1). By the complementary method of dynamic gas chromatography (GC), the apparent enantiomerization (inversion) barrier of 1-chloro-2,2-dimethylaziridine in the gas-liquid biphase system was found delta G#app(353 K)=108 kJ mol(-1). The values obtained by stopped-flow MDGC in the gas phase were used to calculate the activation parameters of nitrogen inversion of 1-chloro-2,2-dimethylaziridine in the liquid phase in the presence of the chiral selector Chirasil-nickel(II), i.e.. deltaG#liq(353 K)=106.0+/-0.4 kJ mol(-1), delta H#liq=68.3+/-1.4 kJ mol(-1) and deltaS#liq=-106+/-3.0 J mol(-1) K(-1).