ArticleActa bio-medica : Atenei Parmensis2019
Comparison between conservative treatment and plate fixation for displaced middle third clavicle fracture: clinical outcomes and complications.
Article in Acta bio-medica : Atenei Parmensis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.
- Non-surgical treatment for displaced midshaft clavicle fractures: a systematic review and meta-analysis.BMC musculoskeletal disorders · 2026Pooled it
- Functional Outcomes and Complications of Non-surgical Management for Midshaft Clavicle Fractures.Cureus · 2025Article
- Functional and Radiological Outcomes of Anterior Clavicle Plating in the Treatment of Midshaft Clavicle Fractures - Allman Group 1 Type.Journal of orthopaedic case reports · 2025Article
- Review
- Evaluating the Outcomes of Managing Displaced Clavicular Fractures by Using Precontoured Clavicular Plates.Cureus · 2024Article
- Comprehensive comparison between conservative therapy and surgical management for completely displaced and comminuted mid-shaft clavicle fractures.International orthopaedics · 2024Article
- An Institutional Standardised Protocol for the Treatment of Acute Displaced Midshaft Clavicle Fractures (ADMCFs): Conservative or Surgical Management for Active Patients?Healthcare (Basel, Switzerland) · 2023Article
- Optimal plate position in minimally invasive plate osteosynthesis for mid-shaft clavicle fractures: simulation using 3D-printed models of actual clinical cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Displaced mid-shaft clavicular fractures: state of the art for athletes and young active people.International orthopaedics · 2021Review
- Variation in management of humeral and clavicular shaft fractures amongst fellowship trained orthopedic traumatologists.BMC musculoskeletal disorders · 2020Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundClavicle fractures are common injuries in adults, especially due to sport activities or road traffic accidents. Most lesions occur at the level of the middle-third presenting some degree of displacement often. Traditionally, non-surgical management was considered the first treatment option for the most clavicle fractures. Nowadays, various authors suggest early surgical fixation of displaced midshaft fractures. The aim of this study is to compare surgical versus non-surgical treatment and to evaluate the outcomes and the incidence of complications following to both treatment options. Matherial and methods: 87 patients with 2 displaced clavicle fractures fragments (AO 15.2A) were included in the retrospective study, evaluating the clinical and functional outcomes and the complication rate with a follow-up average of 48 months.
resultsThe risk of nonunion resulted lower in the surgically treated patients. The Constant Score after 1 year was slightly better after the plate fixation (94,36 vs 91,36), while the DASH score resulted better in the conservatively treated patients (3,86 vs 4,63). The delay or revision surgery rates were similar for both groups and most of the complications were associated with the conservative treatment.
conclusionsAccording to our results, the plate fixation does not lead to better clinical and functional outcomes, instead it reduces the risk of nonunion. We suggest to tailor the treatment patient-by-patient considering the functional demand, patient's comorbidity and nonunion risk factor.
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