ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2019
Surgical treatment of Neer type II and type V lateral clavicular fractures: comparison of hook plate versus superior plate with lateral extension: a retrospective cohort study.
Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled 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.
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
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 29 citations in OpenAlex.
- Comparison of hook plates vs. locking plates for Neer type IIB fractures of lateral end clavicle: A systematic review.Chinese journal of traumatology = Zhonghua chuang shang za zhi · 2025Pooled it
- How to assess applicability and methodological quality of comparative studies of operative interventions in orthopedic trauma surgery.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Pooled it
- Different internal fixation methods for unstable distal clavicle fractures in adults: a systematic review and network meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Treatment of distal clavicle fracture of Neer type II with locking plate in combination with titanium cable under the guide.Scientific reports · 2021Trial
- Novel Lag Screw Application In The Reduction Of Neer Type V Distal Clavicle Fracture: A Case Report And Technical Note.Journal of orthopaedic case reports · 2025Article
- Distal augmentation in unstable distal clavicle fractures: a retrospective cohort study of 101 cases.Archives of orthopaedic and trauma surgery · 2025Article
- Treatment Strategies for Distal Clavicle Fractures: A Narrative Review.Orthopedic research and reviews · 2025Review
- Biomechanical evaluation of fixation of the coracoclavicular stand-alone cow-hitch suture reconstruction in comparison to two established techniques for highly unstable distal clavicle fractures (Neer type V).JSES international · 2024Article
- Arthroscopically Assisted Coracoclavicular (CC) Stabilization Using a Suture Button Device for Lateral Clavicle Fractures with CC Ligament Injury.Journal of clinical medicine · 2024Article
- Complications following arthroscopic-assisted coracoclavicular stabilization in patients with unstable lateral clavicle fractures.Archives of orthopaedic and trauma surgery · 2023Article
- Comparison of Interobserver Agreement of Four Classification Systems for Lateral Clavicle Fractures between Two Groups of Surgeons: A Multicenter Study.Orthopaedic surgery · 2023Article
- What are the long-term patient-reported and clinical outcomes after lateral clavicle fractures? A cross-sectional study of 619 patients.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023Article
- Clinical analysis of the acromial height-measuring device combined with new-type clavicular hook plate and standard clavicular hook plate in the treatment of Neer type II distal clavicle fractures.Journal of orthopaedic surgery and research · 2022Review
- Fixation of distal clavicle fractures with coracoclavicular instability: a comparative biomechanical study in human cadavers.JSES international · 2022Article
- Arthroscopic coracoclavicular button fixation versus anatomic locking plate fixation for unstable distal clavicular fractures.JSES international · 2021Article
- [Clavicular hook plate with coracoclavicular ligament augmentation by suture anchor in the treatment of unstable distal clavicle fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Article
- Risk factors for clavicular midshaft fractures after hook plate fixation for the treatment of Neer type II clavicular fractures.The Journal of international medical research · 2021Observational
- Clavicle fractures in adults; current concepts.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2020Review
- Inter- and intraobserver agreement of three classification systems for lateral clavicle fractures - reliability comparison between two specialist groups.Patient safety in surgery · 2020Article
- Different inner fixation strategies for Neer type II and type V lateral clavicular fractures.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2020Article
Corrections and comments
- Commented on by
Authors and funding
7 authors at 7 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDifferent fixation methods are used for treatment of unstable lateral clavicle fractures (LCF). Definitive consensus and guidelines for the surgical fixation of LCF have not been established. The aim of this study was to compare patient-reported functional outcome after open reduction and internal fixation with the clavicle hook plate (CHP) and the superior clavicle plate with lateral extension (SCPLE).
methodsA dual-center retrospective cohort study was performed. All patients operatively treated for unstable Neer type II and type V LCF between 2011 and 2016, with the CHP (n = 23) or SCPLE (n = 53), were eligible for inclusion. The primary outcome was the QuickDASH score. Secondary outcomes were the numerical rating scale (NRS) pain score, complications, and implant removal.
resultsA total of 67 patients (88%) were available for the final follow-up. There was a significant difference in bicortical lateral fragment size, 15 mm (± 4, range 6-21) in the CPH group compared to 20 mm (± 8, range 8-43) in the SCPLE group (p ≤ 0.001). There was no significant difference in median QuickDASH score (CHP; 0.00 [IQR 0.0-0.0], SCPLE; 0.00 [IQR 0.0-4.5]; p = 0.073) or other functional outcome scores (NRS at rest; p = 0.373, NRS during activity; p = 0.559). There was no significant difference in median QuickDASH score or other functional outcome scores between Neer type II and type V fractures. There was no significant difference in complication rate, CHP 11% and SCPLE 8% (relative risk 1.26; [95% CI 0.25-6.33; p = 0.777]). The implant removal rate was 100% in the CHP group compared to 42% in the SCPLE group (relative risk 2.40; [95% CI 1.72-3.35; p ≤ 0.001]).
conclusionBoth the CHP and SCPLE are effective fixation methods for the treatment of unstable LCF, resulting in excellent patient-reported functional outcome and similar complication rates. SCPLE fixation is an effective fixation method for the treatment of both Neer type II and type V LCF. The SCPLE has a lower implant removal rate. Therefore, if technically feasible, we recommend SCPLE fixation for the treatment of unstable LCF.
Indexed as
Identifiers
What OpenQuestion holds
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.