ArticleInternational orthopaedics2019
Surgical approach for open reduction and internal fixation of clavicle fractures: a comparison of vertical and horizontal incisions.
Article in International orthopaedics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06050473 (Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF), which is not on this map. Cited by 10 papers.
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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.
Preservation vs Sacrifice of the Supraclavicular Nerve During Clavicle ORIF: A Randomized Controlled Trial
Who cites it
10 citing papers in PubMed, 16 citations in OpenAlex.
- Vertical versus transverse abdominal incision in placental abruption: a propensity score-matched study on the trade-off between speed and maternal-neonatal safety.Frontiers in medicine · 2026Article
- Efficacy of intramedullary bridge fixation for midshaft clavicle fractures: a retrospective analysis of a novel technique.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 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
- Supraclavicular nerve sparing versus sacrifice during open reduction internal fixation of acute midshaft clavicle fracture.Journal of orthopaedic surgery and research · 2023Article
- Safe zone of supraclavicular nerve during clavicle fixation and its anatomical variations, a cadaveric study.Archives of orthopaedic and trauma surgery · 2023Article
- Regional Anesthetic and Analgesic Techniques for Clavicle Fractures and Clavicle Surgeries: Part 1-A Scoping Review.Healthcare (Basel, Switzerland) · 2022Article
- Does a skin incision along Langer's lines reduce complications following fixation of displaced middle-third clavicle fractures?Archives of orthopaedic and trauma surgery · 2022Article
- Incisional paresthesia following clavicle plate fixation: does it matter to patients?BMC musculoskeletal disorders · 2021Article
- Anatomy of clavicle in the Indian population and its applicability in pre-contoured plating.International orthopaedics · 2020Article
- Comment on article by Chechik et al.: Surgical approach for open reduction and internal fixation of clavicle fractures: a comparison of vertical and horizontal incisions.International orthopaedics · 2019Article
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study was designed to compare the results of clavicle fracture open reduction internal fixation (ORIF) with standard horizontal incision versus vertical incision.
methodsORIF surgery performed between October 2012 and August 2016 was included. The surgical approach was chosen according to surgeon preference as vertical or horizontal. Functional outcomes, fracture union, complications, scar appearance, skin irritation, and denervation around the scar were assessed at a minimum follow-up of three months.
resultsThirty-eight patients, age 39 ± 12 years, were operated upon, 22 through vertical incisions and 16 through horizontal incisions. There were no significant group differences in functional scores, fracture union, or complications. Two patients in the vertical incision group had a post-operative haematoma. The scar length was significantly shorter when a vertical incision was used (6.75 ± 1.25 cm vs 8.9 ± 2.3 cm, P = 0.001). The typical distribution of hypoesthetic skin area distal and lateral to the scar represented iatrogenic damage to the supraclavicular nerves and was found in 66% of patients. The mean hypoesthetic surface area was smaller in the vertical incision group (38 ± 29 cm
conclusionVertical incision results in shorter scars but may be associated with increased incidence of haematomas. Meticulous closure of the subcutaneous tissue is recommended.
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