Evidence map›Paper›PMID 30719093›Full record

ReviewShoulder & elbow2019

Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients.

M Vautrin, G Kaminski, B Barimani, J Elmers, V Philippe, S Cherix, E Thein, O Borens, F Vauclair

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Shoulder & elbow, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Sports-Related Shoulder Injuries Among Female Athletes.Current reviews in musculoskeletal medicine · 2022
    Review
  5. Article
  6. Article
  7. 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

9 authors.

M VautrinOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
G KaminskiUMR 5263, Laboratoire CLLE-LTC, Toulouse, France.
B BarimaniFaculty of Medicine, Imperial College London, London, UK.
J ElmersFaculty of Biology and Medicine Library, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
V PhilippeOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
S CherixOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
E TheinOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
O BorensOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.
F VauclairOrthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe hypothesis of this study was that patient selection for midshaft clavicle fracture (open reduction internal fixation with plate

methodsWe performed a systematic literature search for primary studies providing functional score and non-union rate after conservative or surgical management of midshaft clavicle fractures. Six randomized controlled trial and 19 non-randomized controlled trial studies encompassing a total of 1348 patients were included.

resultsPatients treated with surgical management were found to have statistically superior Constant scores in non-randomized controlled trials than in randomized controlled trials (94.76 ± 6.4 versus 92.49 ± 6.2; p < 0.0001). For conservative treatment, randomized controlled trials were found to have significantly better functional outcome. The prevalence of non-union (6.1%) did not show significant statistical difference between non-randomized controlled trial and randomized controlled trial studies. The functional outcome after surgical management was significantly higher than after conservative management in both randomized controlled trial and non-randomized controlled trial groups. The non-union rate after surgery (1.1% for both non-randomized controlled trial and randomized controlled trial) was significantly lower than following conservative treatment (9.9% non-randomized controlled trial versus 15.1% randomized controlled trial). DISCUSSION: This review shows that patient selection for surgery may influence functional outcome after midshaft clavicle fracture. Our results also confirm that plate fixation provides better functional outcome and lower non-union rate.

Indexed as

clavicle fractureconservative managementplate fixationrandomized control trial

Identifiers

PMID30719093
PMCPMC6348584

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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.