SynthesisInternational orthopaedics2015
Management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis.
Synthesis in International orthopaedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 6 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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
19 citing papers in PubMed, 6 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Intramedullary fixation versus plate fixation in the treatment of midshaft clavicle fractures: a meta-analysis of randomized controlled trials.Frontiers in surgery · 2023Pooled 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
- Pooled it
- Meta-analysis suggests that the electromagnetic technique is better than the free-hand method for the distal locking during intramedullary nailing procedures.International orthopaedics · 2017Pooled it
- Intramedullary Nailing Versus Plate Fixation for the Treatment Displaced Midshaft Clavicular Fractures: A Systematic Review and Meta-Analysis.Scientific reports · 2016Pooled it
- High Irritation and Removal Rates After Plate or Nail Fixation in Patients With Displaced Midshaft Clavicle Fractures.Clinical orthopaedics and related research · 2017Trial
- Prospective randomized study comparing results of fixation for clavicular shaft fractures with intramedullary nail or locking compression plate.International orthopaedics · 2017Trial
- Functional outcomes and complications of plate fixation for midshaft clavicle fractures by type and location: a systematic review and meta-analysis.JSES international · 2024Review
- Plate Osteosynthesis or Figure-of-Eight Brace: Which One Is Better in Midshaft Clavicle Fractures?Cureus · 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
- Bilaterally Threaded, Minimal Invasive, Elastic Locking Intramedullary Nailing (ELIN) for the Treatment of Clavicle Fractures.Orthopaedic surgery · 2020Article
- Meta-analysis of differences in Constant-Murley scores for three mid-shaft clavicular fracture treatments.Oncotarget · 2017Article
- Minimally invasive plate osteosynthesis technique for displaced midshaft clavicular fracture using the clavicle reductor.International orthopaedics · 2017Article
- Reply to comments on Chang et al.: Meta-analysis shows that highly comminuted bicondylar tibial plateau fractures treated by single lateral locking plate give similar outcomes as dual plate fixation.International orthopaedics · 2016Article
- Article
- Letter regarding article by Zhu et al.: management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis.International orthopaedics · 2015Article
- Titanium Elastic Nail versus plate fixation of displaced midshaft clavicle fractures: A retrospective comparison study.The Kaohsiung journal of medical sciences · 2015Article
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis meta-analysis of randomised controlled trials (RCTs) aimed to investigate the comparative outcomes between plate fixation and intramedullary fixation for management of mid-shaft clavicle fractures.
methodsRelevant original studies were searched in electronic databases of PubMed, Medline, Embase and CNKI (all through October 2014). RCTs that investigated the effectiveness or complications between both groups and provided sufficient data of interest were included in this meta-analysis.
resultsFive RCTs fulfilled inclusion and exclusion criteria and were included in this meta-analysis, with 128 participants in a plate fixation (PF) group and 157 in an intramedullary fixation (IF) group. Patients were followed up for at least one year in all the studies. Compared to PFs, IF is a better alternative for treatment of MSCFs than PF, with a reduced surgery time, a shorter incision, rapid union time, better shoulder function at one year and fewer complications such as infection, symptomatic hardware and hypertrophic scar. In other aspects such as complications of implant failure, refracture and nonunion, both techniques were comparable.
conclusionsIf the surgery is indicated, intramedullary fixation has more advantages than plate fixation for treatment of mid-shaft clavicular fracture. This definitive conclusion could aid surgeons in making evidence-based decisions when selecting an optimal fixation pattern.
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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.