ArticleBMJ open2019
Operative treatment of displaced midshaft clavicle fractures: has randomised control trial evidence changed practice patterns?
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
What it found
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- Dual-plating is associated with lower implant removal rates compared with single-plate fixation for midshaft clavicle fractures: a meta-analysis.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2025Pooled it
- Review
- Increasing surgical rate of clavicle fractures and acromioclavicular dislocations in Chile: analysis over the last 15 years reveals disparities in access according to insurance type.BMC musculoskeletal disorders · 2025Observational
- Operative treatment of clavicle fractures results in more opioids prescribed as compared to non-operative management.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2024Article
- Hydropneumothorax in an Isolated Midshaft Clavicle Fracture.Journal of orthopaedic case reports · 2024Article
- Impact of surrogate outcomes in randomized controlled trials for shoulder rotator cuff tears.Archives of orthopaedic and trauma surgery · 2023Article
- Closed midshaft clavicle fractures : an evidence-based triage management algorithm.Bone & joint open · 2022Article
- Are two plates better than one? A systematic review of dual plating for acute midshaft clavicle fractures.Shoulder & elbow · 2022Article
- Management of Displaced Midshaft Clavicle Fractures with Figure-of-Eight Bandage: The Impact of Residual Shortening on Shoulder Function.Journal of personalized medicine · 2022Article
- No decrease in incidence of arthroscopic meniscectomy in a Canadian province.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Assessing the Change in Operative Treatment Rates for Acute Midshaft Clavicle Fractures: Incorporation of Evidence-Based Surgery Results in Orthopaedic Practice.JB & JS open accessArticle
- Biomechanical Evaluation of Different Plate Configurations for Midshaft Clavicle Fracture Fixation: Single Plating Compared with Dual Mini-Fragment Plating.JB & JS open accessArticle
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine if level 1 evidence from a landmark trial changed practice patterns for treatment of patients with displaced midshaft clavicle fractures.
designRetrospective cohort study.
settingTwo level 1 trauma centres.
participantsDisplaced midshaft clavicle fractures.
results686 patients met inclusion criteria. The pretrial cohort (n=108) was 68.5% male, with a mean age of 37.7 (±13.9) years. The post-trial cohort (n=578) was 76.1% male, with a mean age of 41.9 (±12.7) years. There was nearly a 10-fold increase in the patients treated with openreduction and internal fixation (ORIF) in the post-trial cohort (34.1%) compared with the pretrial cohort (3.7%) (p<0.001). Patients in the post-trial cohort were more likely to undergo ORIF if they were <40 years (OR=2.2; 95% CI 1.53 to 3.10), if their Injury Severity Score was >9 (OR=1.6; 95% CI 0.89 to 2.99) or if they were treated at a centre that participated in the
conclusionsThis study demonstrated a significant shift towards more frequent
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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.