ArticleIndian journal of orthopaedics2014
Plate versus titanium elastic nail in treatment of displaced midshaft clavicle fractures: A comparative study.
Article in Indian journal of orthopaedics, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
What it found
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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.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Pooled it
- Functional outcomes and complications of intramedullary fixation devices for Midshaft clavicle fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2020Pooled it
- Intramedullary Nailing Versus Plate Fixation for the Treatment Displaced Midshaft Clavicular Fractures: A Systematic Review and Meta-Analysis.Scientific reports · 2016Pooled it
- Understanding the role of vitamin D in osteosarcoma: A narrative review.Medical oncology (Northwood, London, England) · 2025Review
- From Nail to Fail: Complications Encountered with Clavicle Nailing - A Series of 3 Cases.Journal of orthopaedic case reports · 2025Article
- Functional outcomes and complications of plate fixation for midshaft clavicle fractures by type and location: a systematic review and meta-analysis.JSES international · 2024Review
- Successful management of a distal clavicular fracture using Titanium elastic nail (TEN) fixation.Radiology case reports · 2024Article
- Intramedullary Screw Fixation for Midshaft Clavicle Fractures.Arthroscopy techniques · 2024Article
- Anterior and superior plate positions in diaphyseal clavicle fractures produce similar patient outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- New interlocking intramedullary nail for treating acute midshaft clavicular fractures in adults: A retrospective study.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023Article
- Comparative Study of Postoperative Outcomes of Clavicle Midshaft Fracture Treated by Nailing vs. Plating.Cureus · 2022Article
- Comparative effectiveness of treatment options for displaced midshaft clavicle fractures : a systematic review and network meta-analysis.Bone & joint open · 2021Article
- Comparison of plate fixation vs. intramedullary fixation for the management of mid-shaft clavicle fractures: A systematic review and meta-analysis of randomised controlled trials.Experimental and therapeutic medicine · 2020Article
- Functional outcomes, union rate, and complications of the Anser Clavicle Pin at 1 year: a novel intramedullary device in managing midshaft clavicle fractures.JSES international · 2020Article
- An evaluation of treatment options for medial, midshaft, and distal clavicle fractures: a systematic review and meta-analysis.JSES international · 2020Review
- Midshaft clavicle fractures: Current concepts.EFORT open reviews · 2018Article
- Meta-analysis of differences in Constant-Murley scores for three mid-shaft clavicular fracture treatments.Oncotarget · 2017Article
- Article
- The Treatment of Mid-shaft Clavicle Fractures.Chinese medical journal · 2015Review
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith changing trends in treatment of displaced midshaft clavicle fractures (DMCF), plating remains the standard procedure for fixation. An attracting alternative method of fixation is the titanium elastic nailing (TEN). However, prospective randomized studies comparing the two methods of fixation are lacking. We assessed the effectiveness of minimally invasive antegrade TEN and plating technique for the treatment of DMCF. MATERIALS AND
methods80 unilateral displaced midclavicular fractures operated between October 2010 and May 2013 were included in study. This prospective comparative study was approved by the local ethical committee. Followups were at 2(nd) and 6(th) weeks and subsequently at 3, 6, 12, 18 and 24 months postoperatively. Primary outcome was measured by the Constant score, union rate and difference in clavicular length after fracture union. Secondary outcome was measured by operative time, intraoperative blood loss, wound size, cosmetic results and complications.
resultsDuring analysis, we had 37 patients in the plate group and 34 patients in the TEN group. There was no significant difference in Constant scores between the two groups. However, faster fracture union, lesser operative time, lesser blood loss, easier implant removal and fewer complications were noted in the TEN group.
conclusionThe use of minimally invasive antegrade TEN for fixation of displaced midshaft clavicle fractures is recommended in view of faster fracture union, lesser morbidity, better cosmetic results, easier implant removal and fewer complications; although for comminuted fractures plating remains the procedure of choice.
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