Trial reportBMC musculoskeletal disorders2015
Does a minimal invasive approach reduce anterior chest wall numbness and postoperative pain in plate fixation of clavicle fractures?
Trial report in BMC musculoskeletal disorders, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 1 of them a synthesis 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.
Outcome of Mini-incision-technique for Treatment of Midshaft Fractures of the Clavicle
Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF: A Randomized Controlled Trial
Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 31 citations in OpenAlex.
- Comparison between Minimally Invasive Plate Osteosynthesis and Conventional Open Plating for Midshaft Clavicle Fractures: A Systematic Review and Meta-Analysis.BioMed research international · 2019Pooled it
- Article
- Operative Treatment of Adolescent Diaphyseal Clavicle Fracture: Elastic Stable Intramedullary Nail Versus Plate Fixation.Medicina (Kaunas, Lithuania) · 2025Article
- Prevalence and associated factors of acute postoperative pain in adult surgical patients: A prospective study.Surgery in practice and science · 2024Article
- Minimally Invasive Plate Osteosynthesis with Mini-Open Technique and Supraclavicular Nerve Preservation Reduces Postoperative Numbness in Acute Displaced Midshaft Clavicle Fracture.Medicina (Kaunas, Lithuania) · 2024Article
- Advancing fracture management: the role of minimally invasive osteosynthesis in orthopedic trauma care.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Functional outcomes and complications of plate fixation for midshaft clavicle fractures by type and location: a systematic review and meta-analysis.JSES international · 2024Review
- Safe zone of supraclavicular nerve during clavicle fixation and its anatomical variations, a cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
- Biomechanical and clinical evaluation of minimal invasive plate osteosynthesis for two-part clavicle shaft fractures.BMC musculoskeletal disorders · 2023Article
- Minimally-Invasive Plate Osteosynthesis for Clavicle Fractures.Revista brasileira de ortopedia · 2022Article
- Case Report and Preliminary Exploration: Protection of Supraclavicular Nerve Branches during Internal Fixation of Clavicular Fractures through Preoperative Ultrasound Localization.Frontiers in surgery · 2022Article
- Incisional paresthesia following clavicle plate fixation: does it matter to patients?BMC musculoskeletal disorders · 2021Article
- Article
- The magnitude and associated factors of post-operative pain at Debre Tabor compressive specialized hospital, Debre Tabor Ethiopia, 2018.SAGE open medicine · 2021Article
- Clinical and Radiological Outcomes after Various Treatments of Midshaft Clavicle Fractures in Adolescents.Clinics in orthopedic surgery · 2020Article
- Surgical approach for open reduction and internal fixation of clavicle fractures: a comparison of vertical and horizontal incisions.International orthopaedics · 2019Article
- [Clavicular fractures : Diagnostics, management and treatment].Der Unfallchirurg · 2018Article
- Experience managing pain associated with supraclavicular nerves compressed by a cardiac implantable electrical device, diagnosed by the local nerve block.Journal of arrhythmia · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFractures of the clavicle present very common injuries with a peak of incidence in young active patients. Recently published randomized clinical trials demonstrated an improved functional outcome and a lower rate of nonunions in comparison to non-operative treatment. Anterior chest wall numbness due to injury of the supraclavicular nerve and postoperative pain constitute common surgery related complications in plate fixation of displaced clavicle fractures. We recently developed a technique for mini open plating (MOP) of the clavicle to reduce postoperative numbness and pain. The purpose of this study was to analyze the size of anterior chest wall numbness and the intensity of postoperative pain in MOP in comparison to conventional open plating (COP) of clavicle fractures.
methods24 patients (mean age 38.2 ± 14.2 yrs.) with a displaced fracture of the clavicle (Orthopaedic Trauma Association B1.2-C1.2) surgically treated using a locking compression plate (LCP) were enrolled. 12 patients underwent MOP and another 12 patients COP. Anterior chest wall numbness was measured with a transparency grid on the second postoperative day and at the six months follow-up. Postoperative pain was evaluated using the Visual Analog Scale (VAS).
resultsMean ratio of skin incision length to plate length was 0.61 ± 0.04 in the MOP group and 0.85 ± 0.06 in the COP group (p < 0.05). Mean ratio of the area of anterior chest wall numbness to plate length was postoperative 7.6 ± 5.9 (six months follow-up 4.7 ± 3.9) in the MOP group and 22.1 ± 19.1 (16.9 ± 14.1) in the COP group (p < 0.05). Mean VAS was 2.6 ± 1.4 points in the MOP group and 3.4 ± 1.6 points in the COP group (p = 0.20).
conclusionsIn our study, MOP significantly reduced anterior chest wall numbness in comparison to a conventional open approach postoperative as well as at the six months follow-up. Postoperative pain tended to be lower in the MOP group, however this difference was not statistically significant.
trial registrationClinicalTrials.gov NCT02247778 . Registered 21 September 2014.
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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.