Evidence map›Paper›PMID 26880791›Full record

SynthesisThe Journal of international medical research2016

Plate fixation versus intramedullary fixation for midshaft clavicle fractures: Meta-analysis of complications and functional outcomes.

Hao Xiao, Hengbo Gao, Tuokang Zheng, Jianhui Zhao, Yingping Tian

Abstract readMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in The Journal of international medical research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Association between ATG16L1 gene polymorphism and the risk of Crohn's disease.The Journal of international medical research · 2017
    Pooled it
  5. Trial
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. 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 Diseases
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hao XiaoEmergency Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Hengbo GaoEmergency Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China Key Laboratory of Emergency Medicine of Hebei Province, Shijiazhuang, China.
Tuokang ZhengEmergency Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China Key Laboratory of Emergency Medicine of Hebei Province, Shijiazhuang, China.
Jianhui ZhaoEmergency Department, The Second Hospital of Hebei Medical University, Shijiazhuang, China.
Yingping TianKey Laboratory of Emergency Medicine of Hebei Province, Shijiazhuang, China drtian2013@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis analysis critically compares publications discussing complications and functional outcomes of plate fixation (PF) versus intramedullary fixation (IF) for midshaft clavicle fractures.

methodsRelevant studies published between January 1990 and October 2014, without language restrictions, were identified in database searches of PubMed®, Medline®, Embase and the Chinese National Knowledge Infrastructure (CNKI). Studies that compared postoperative complications and functional outcomes between PF and IF for midshaft clavicle fractures, and provided sufficient data for analysis, were included in this meta-analysis.

resultsAfter strict evaluation, 12 studies were included in this meta-analysis. Studies encompassed 462 participants in the PF group and 440 in the IF group. Study participants were followed up for ≥1 year. Outcomes were superior with IF compared with PF in terms of shoulder constant score at 6-month follow-up, fewer symptomatic hardware complications, lower rate of refracture after hardware removal and less hypertrophic scarring. In other aspects, such as functional recovery at 12-months and 24-months, Disability of Arm, Shoulder and Hand (DASH) questionnaire results at 12-month follow-up, shoulder motion range, rates of superficial infection, temporary brachial plexus lesion, nonunion, malunion, delayed union, implant failure and need for major revision, both techniques were similar.

conclusionsFindings of this meta-analysis suggest that, in many respects, IF was superior to PF for the management of midshaft clavicle fractures. This finding could aid surgeons in making decisions on the optimum internal fixation pattern for midshaft clavicular fractures.

Indexed as

Bone PlatesAdolescentAdultBrachial PlexusClavicleFemaleFracture Fixation, IntramedullaryFractures, BoneFractures, MalunitedHumansMaleMiddle AgedPostoperative ComplicationsRange of Motion, ArticularRecovery of FunctionReoperationintramedullary fixationmeta-analysisMidshaft clavicle fracturesplate fixation

Identifiers

PMID26880791
PMCPMC5580056

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Registered trials

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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.