SynthesisMedicine2019
Open reduction and plate fixation compared with non-surgical treatment for displaced midshaft clavicle fracture: A meta-analysis of randomized clinical trials.
Synthesis in Medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04622137 (An Alternative Conservative Treatment Method For Midshaft Clavicular Fractures), which is not on this map. Cited by 19 papers.
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.
An Alternative Conservative Treatment Method For Midshaft Clavicular Fractures: Kinesiotaping Therapy
Who cites it
19 citing papers in PubMed, 41 citations in OpenAlex.
- Clavipectoral fascia block associated with intermediate cervical plexus block versus intermediate cervical plexus block alone in clavicle surgeries: a randomized clinical trial.BMC anesthesiology · 2026Trial
- Ultrasound-Guided Modified Clavipectoral Fascial Plane Block With Superficial Cervical Plexus Block for Midshaft Clavicular Surgery: A Prospective Randomized Controlled Trial.Medical science monitor : international medical journal of experimental and clinical research · 2026Trial
- Surgical fixation reduces scapular dyskinesis and mal-union rates in midshaft clavicle fractures: a retrospective comparative analysis.Musculoskeletal surgery · 2026Article
- Efficacy and safety of clavipectoral fascial plane block for analgesia in clavicle fracture operations: a meta-analysis of randomized controlled trials.Trauma surgery & acute care open · 2026Article
- Comparison of Surgical Treatment of Clavicle Fractures Using Superior and Anterior Plates: A Clinical Trial.The archives of bone and joint surgery · 2026Article
- Salvage Surgery for a Recalcitrant Clavicular Nonunion Using the Masquelet Technique: A Case Report.Cureus · 2025Article
- Innovative Anatomical Plate for Surgical Fixation of Acromial-End Clavicle Fractures: A Case Report.Orthopedic reviews · 2025Article
- Comparison of the use of biocompatible materials and titanium in the treatment of midshaft clavicle fractures with a patient-specific plate: a finite element analysis study.Archives of orthopaedic and trauma surgery · 2024Article
- Article
- Comprehensive comparison between conservative therapy and surgical management for completely displaced and comminuted mid-shaft clavicle fractures.International orthopaedics · 2024Article
- Floating clavicle with medial clavicular fracture causing diagnostic dilemma - A case report and literature review.International journal of surgery case reports · 2023Article
- Outcomes of young active patients with displaced clavicle fractures treated with Rockwood pin.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Article
- Ultrasound-Guided Clavipectoral Block for Postoperative Analgesia of Clavicular Surgery: A Prospective Randomized Trial.Anesthesiology and pain medicine · 2022Article
- Osteosynthesis with autologous dual bone graft for nonunion of midshaft clavicle fractures: clinical and radiological outcomes.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2022Article
- Clavipectoral plane block as a sole anesthetic technique for clavicle surgery - A case report.Anesthesia and pain medicine · 2022Article
- Incisional paresthesia following clavicle plate fixation: does it matter to patients?BMC musculoskeletal disorders · 2021Article
- Plate Osteosynthesis or Figure-of-Eight Brace: Which One Is Better in Midshaft Clavicle Fractures?Cureus · 2021Article
- CORR Insights®: What Is the Best Evidence for Management of Displaced Midshaft Clavicle Fractures? A Systematic Review and Network Meta-analysis of 22 Randomized Controlled Trials.Clinical orthopaedics and related research · 2020Article
- Comparison of 2 Different Fixation Implants for Operative Treatment of Mid-Shaft Clavicle Fractures: A Retrospective Study.Medical science monitor : international medical journal of experimental and clinical research · 2019Article
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 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundsThere is no consensus concerning whether surgery or non-surgical treatment is preferred for displaced midshaft clavicle fracture. We performed a meta-analysis of randomized controlled trials (RCTs) to compare healing effects and cosmetic results between surgery and non-surgery.
methodsWe retrieved RCTs regarding open reduction and plate fixation (ORPF) and non-surgical method for the treatment of displaced midshaft clavicle fracture published before June 2018 from PubMed, EMBASE and Cochrane Library. The difference between the two treatments was comparatively discussed in aspects of nonunion, malunion, functional outcome, cosmetic results, and complications.
resultsNine RCTs were included. The results showed that ORPF is advantageous over the non-surgical treatment in terms of nonunion rate (RR, 0.11[95%CI, 0.06-0.23]), malunion rate (RR, 0.16[95%CI, 0.08-0.35]), appearance dissatisfaction rate (RR, 0.35[95%CI 0.23-0.55]), and shoulder appearance defect rate (RR, 0.06[95%CI, 0.02-0.17]). The non-surgical treatment showed lower rate of complication (RR, 1.60[95%CI, 1.02-2.53]) and no significant differences were found between the 2 treatment groups with respect to functional outcome (disabilities of the arm, shoulder and hand (DASH) questionnaire score) (MD, -4.17[95%CI, -9.35 to 1.01]).
conclusionsThis meta-analysis updated previous results. The current findings suggested that ORPF yielded better efficacy than conservation treatment for displaced midshaft clavicle fracture from perspectives of fracture healing and appearance.
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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.