Evidence map›Paper›PMID 33944989›Full record

ArticleArchives of orthopaedic and trauma surgery2022

Additional coracoclavicular augmentation reduces revision rates in the treatment of lateral clavicle fractures as compared to angle-stable plate osteosynthesis alone.

Rony- Orijit Dey Hazra, Robert Maximillian Blach, Alexander Ellwein, Helmut Lill, Mara Warnhoff, Gunnar Jensen

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Article in Archives of orthopaedic and trauma surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Rony- Orijit Dey HazraDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany. Ronny.Dey@gmail.com.ORCID http://orcid.org/0000-0002-3530-6726
Robert Maximillian BlachDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.
Alexander EllweinDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.
Helmut LillDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.
Mara WarnhoffDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.
Gunnar JensenDepartment of Orthopedics and Traumatology, Diakovere Friederikenstift, Humboldtstraße 5, 30169, Hannover, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is no uniform approach to the management of lateral clavicle fractures. Recent studies have investigated additive coracoclavicular (CC) augmentation as a treatment option; however, it is unclear whether it is superior to conventional locking plate osteosynthesis.

methodsWe carried out a retrospective analysis of 40 patients with lateral clavicle fracture (Neer type IIb) who were treated between 2014 and 2017 with either a hybrid locking plate osteosynthesis/additive arthroscopy-assisted CC augmentation (HP) procedure or a locking plate osteosynthesis only (PO) approach to determine which strategy was more effective. At follow-up, subjective shoulder value, age- and sex-adjusted Constant-Murley score, Taft (TF) score, American Shoulder and Elbow score, Nottingham clavicle score, and Visual Analogue Scale score were compared between patient groups. A radiologic evaluation was also conducted.

resultsA total of 14/17 patients (83%; 9 male/5 female, mean age: 43 ± 15 years) were followed up in the PO group. The mean follow-up time was 29 ± 12.4 months. In the HP group, 17/23 patients (74%; 9 male/8 female, mean age: 43 ± 17 years) were followed up, with a mean follow-up time of 18 ± 7.1 months. There were no significant differences in clinical parameters between the HP and PO groups; notably, the shoulder girdle-specific TF score was comparable in the 2 groups (HP: 11.3 ± 1.1 points and PO: 10.9 ± 0.9 points). In the HP group, additional pathologies were identified and arthroscopically treated in 35% of cases. Radiologic examination revealed a significant difference between pre- and postoperative CC distance in the HP group (P = 0.001).

conclusionAdditive CC augmentation in combination with locking plate osteosynthesis seems to improve the vertical stability and reduces the revision rate in patients with a lateral clavicle fracture. Furthermore, an arthroscopy-assisted procedure allows for an intraoperative detection and single-step treatment of accompanying intraarticular pathologies.

Indexed as

ClavicleFractures, BoneAdultBone PlatesFemaleFracture Fixation, InternalHumansLigaments, ArticularMaleMiddle AgedRetrospective StudiesTreatment OutcomeAccompanying pathologyArthroscopy-assisted coracoclavicular augmentationLateral clavicle fracturePrecontoured locking plate osteosynthesisReturn to workVertical stability

Identifiers

PMID33944989

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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.