SynthesisInternational orthopaedics2013
Operative versus non-operative treatment for clavicle fracture: a meta-analysis.
Synthesis in International orthopaedics, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 5 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
17 citing papers in PubMed, 5 syntheses or guidelines pooled it, 43 citations in OpenAlex.
- Surgical versus conservative interventions for treating fractures of the middle third of the clavicle.The Cochrane database of systematic reviews · 2019Pooled it
- Operative versus nonoperative treatment for displaced midshaft clavicle fractures: a meta-analysis based on current evidence.Clinics (Sao Paulo, Brazil) · 2015Pooled it
- Surgical Versus Conservative Treatments for Displaced Midshaft Clavicular Fractures: A Systematic Review of Overlapping Meta-Analyses.Medicine · 2015Pooled it
- Management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis.International orthopaedics · 2015Pooled it
- Predictors associated with nonunion and symptomatic malunion following non-operative treatment of displaced midshaft clavicle fractures--a systematic review of the literature.International orthopaedics · 2014Pooled it
- Have New Plate Designs Reduced the Rate of Hardware Removal Following Midshaft Clavicle Fracture Fixation?Journal of clinical medicine · 2025Article
- From Nail to Fail: Complications Encountered with Clavicle Nailing - A Series of 3 Cases.Journal of orthopaedic case reports · 2025Article
- Closed midshaft clavicle fractures : an evidence-based triage management algorithm.Bone & joint open · 2022Article
- Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists.BMC musculoskeletal disorders · 2020Article
- Minimally invasive implantation of a novel flexible intramedullary nail in patients with displaced midshaft clavicle fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2016Article
- Proximity of Vital Structures to the Clavicle: Comparison of Fractured and Non-fractured Side.The archives of bone and joint surgery · 2016Article
- Additional bone graft accelerates healing of clavicle non-unions and improves long-term results after 8.9 years: a retrospective study.Journal of orthopaedic surgery and research · 2015Article
- Comment on Liu et al.: Operative versus non-operative treatment for clavicle fracture: a meta-analysis.International orthopaedics · 2013Article
- Comment on Liu et al.: Operative versus non-operative treatment for clavicle fracture: a meta-analysis.International orthopaedics · 2013Article
- Screw Intramedullary Elastic Nail Fixation in Midshaft Clavicle Fractures: A Clinical Outcome in 36 Patients.Indian journal of orthopaedicsArticle
- The challenge of nonunion after osteosynthesis of the clavicle: is it a biomechanical or infection problem?Clinical cases in mineral and bone metabolism : the official journal of the Italian Society of Osteoporosis, Mineral Metabolism, and Skeletal DiseasesArticle
- Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to assess the effects of operative and non-operative treatment on clavicle fractures.
methodRelevant clinical trials on the operative and non-operative treatment for clavicle fractures were retrieved through searching the databases MEDLINE, Embase, OVID and the Cochrane Central Register of Controlled Trials up to December 2011. The quality of the included studies was assessed by two authors. A meta-analysis was carried out on homogeneous studies. Five studies involving 633 clavicle fractures were included.
resultsThe differences in nonunion [risk ratio (RR) 0.12, 95 % confidence interval (CI) 0.05-0.29], malunion (RR 0.11, 95 % CI 0.04-0.29) and neurological complications (RR 0.45, 95 % CI 0.25-0.81) were statistically significant between operative and non-operative treatment. There was no statistically significant difference in delayed union (RR 0.78, 95 % CI 0.31-1.95).
conclusionOperative treatment is better than non-operative treatment, but decisions should be made in accordance with specific conditions for clinical application.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.