SynthesisInternational orthopaedics2012
Plate fixation versus intramedullary fixation for displaced mid-shaft clavicle fractures: a systematic review.
Synthesis in International orthopaedics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 7 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
52 citing papers in PubMed, 7 syntheses or guidelines pooled it.
- Intramedullary fixation versus plate fixation in the treatment of midshaft clavicle fractures: a meta-analysis of randomized controlled trials.Frontiers in surgery · 2023Pooled it
- Intramedullary Nailing Versus Plate Fixation for the Treatment Displaced Midshaft Clavicular Fractures: A Systematic Review and Meta-Analysis.Scientific reports · 2016Pooled it
- Plate fixation versus intramedullary fixation for midshaft clavicle fractures: Meta-analysis of complications and functional outcomes.The Journal of international medical research · 2016Pooled it
- Surgical interventions for treating acute fractures or non-union of the middle third of the clavicle.The Cochrane database of systematic reviews · 2015Pooled it
- Meta-analysis of plate fixation versus intramedullary fixation for the treatment of mid-shaft clavicle fractures.Scandinavian journal of trauma, resuscitation and emergency medicine · 2015Pooled it
- Management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis.International orthopaedics · 2015Pooled it
- Should displaced midshaft clavicular fractures be treated surgically? A meta-analysis based on current evidence.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2013Pooled it
- Prospective randomized study comparing results of fixation for clavicular shaft fractures with intramedullary nail or locking compression plate.International orthopaedics · 2017Trial
- Plate configuration in midshaft clavicle fractures: influence of working length, screw number, and plate length-a retrospective cohort study of 355 patients.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Is there a difference in plate positioning for clavicle shaft fractures? A retrospective cohort study of 355 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Functional Outcomes of Retrograde Intramedullary Screw Nailing for Displaced Midshaft Clavicle Fractures in Adults.Cureus · 2026Article
- Review
- Operative Treatment of Adolescent Diaphyseal Clavicle Fracture: Elastic Stable Intramedullary Nail Versus Plate Fixation.Medicina (Kaunas, Lithuania) · 2025Article
- Primary stability of nailing versus low-profile dual plating of mid-clavicular fractures- a biomechanical cadaveric study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Comparative study of stabilization of a displaced midshaft clavicle fracture with either an intramedullary nail fixation or a superiorly placed plate.Musculoskeletal surgery · 2025Article
- Finite element analysis of antegrade and retrograde internal intramedullary nailing for mid-shaft clavicle fracture.BMC musculoskeletal disorders · 2025Article
- Article
- Intramedullary Screw Fixation for Midshaft Clavicle Fractures.Arthroscopy techniques · 2024Article
- The fifty most-cited articles regarding midshaft clavicle fractures.Journal of orthopaedics · 2023Article
- Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe optimal surgical approach for displaced midshaft clavicle fracture remains controversial. The objective of this systematic review is to compare functional outcome and complications after plate fixation and intramedullary fixation for displaced midshaft clavicle fractures.
methodsA computer aided search of PUBMED and Embase was carried out on January 11th 2011. Every study that was published in the English, German, French or Dutch language was considered for inclusion. A total of four studies could be included of which two compared intramedullary fixation versus plate fixation, and two compared intramedullary fixation and plate fixation versus conservative treatment for displaced midshaft clavicle fractures. Studies that compared plate fixation with intramedullary fixation in patients with fresh unilateral displaced midshaft clavicle fractures were included. Dislocation or displacement had to be mentioned in the inclusion criteria of the study for inclusion in this review. The modified version of the Cochrane Bone, Joint and Muscle Trauma Group's former quality assessment tool was used. Furthermore, the studies included were scored according to the GRADE approach to assess the quality. The chosen studies were summarised in a data-extraction form. Because of the different study designs and characteristics data were summarised separately for each study.
conclusionsHigh quality evidence from one study and low quality evidence from three studies showed no difference in functional outcome or complications after plate fixation or intramedullary fixation for displaced midshaft clavicle fractures.
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