ArticleBMC musculoskeletal disorders2021
Intraoperative Nice knots assistance for reduction in displaced comminuted clavicle fractures.
Article in BMC musculoskeletal disorders, 2021. 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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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.
- Nice knots assistance in comminuted and displaced clavicle fractures reduce intraoperative blood and shorten operation time with a satisfactory postoperative clinical outcome.BMC musculoskeletal disorders · 2024Pooled it
- Supplementary fixation in multifragmentary midshaft clavicle fractures: do interfragmentary screws or suture cerclage improve outcomes compared with plate-only fixation?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Article
- Comparison of nice knot internal fixation with Kirschner wire external fixation and tension band wiring for Lawrence zone I fractures of the fifth metatarsal base: a retrospective case-control study.Journal of orthopaedic surgery and research · 2025Article
- Transverse inter-metacarpal K-wire with Nice-knot augmentation versus mini-plate fixation for second-fifth metacarpal shaft fractures: a single-center retrospective cohort study.Archives of orthopaedic and trauma surgery · 2025Article
- Comparative efficacy of Nice knot versus lag screw in augmenting locking plate fixation for comminuted clavicular fractures: a retrospective cohort study.BMC musculoskeletal disorders · 2025Article
- Management of Comminuted Midshaft Clavicle Fractures with Interfragmentary Screws, Non-Invasive Screw Fixation Knot Technique and Plating in 83 Patients.Journal of orthopaedic case reports · 2025Article
- Therapeutic effect of the sternoclavicular hook plate in severe trauma patients with sternoclavicular joint injuries: from a level-Ⅰ trauma center.World journal of emergency medicine · 2025Article
- Clinical outcomes of Nice knot-assisted locking plate for preserving periosteum internal fixation in comminuted clavicle fractures: A retrospective study.The Journal of international medical research · 2025Article
- Kirschner wire intramedullary fixation combined with improved nice knot-end cerclage temporarily fixation-assisted reduction before plate osteosynthesis in treating displaced and comminuted clavicle fractures.Langenbeck's archives of surgery · 2024Article
- A modified single-endobutton technique combined with nice knot for treatment of Rockwood type III or V acromioclavicular joint dislocation.BMC musculoskeletal disorders · 2022Article
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Authors and funding
11 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe Nice knots have been widely used in orthopedic surgeries to fix torn soft tissue and fracture in recent years. The study aims to investigate the clinical efficacy and prognosis of intraoperative and postoperative Nice Knots-assisted reduction in the treatment of displaced comminuted clavicle fracture.
methodsFrom Jan 2014 to Dec 2019, 75 patients diagnosed with unilateral closed displaced comminuted clavicle fracture were treated with open reduction and internal fixation (ORIF) in this study. Nice knot group (the NK group) included 38 patients and the other 37 patients were in the traditional group (the TK group). The time of operation and the amount of bleeding during operation were recorded. Post-operative clinical outcomes and radiographic results were recorded and compared between these two groups. The Visual Analogue Scale (VAS), Neer score, Rating Scale of the American Shoulder and Elbow Surgeons, Constant-Murley score and complications such as infection, nonunion, implant loosening, fragment displacement and hardware pain were observed in the two groups.
resultsIn the comparison between the two groups, there was no significant difference in age, sex, the cause of displaced clavicle fracture, and other basic information between the two groups. The operation time, intraoperative fluoroscopy time, and intraoperative blood loss were significantly reduced in the NK group (P < 0.01). There were 2 cases of plate fracture in the TK group. The follow-up results showed that there was no significant difference in VAS, Neer score, ASES, and Constant-Murley scores between the two groups.
conclusionThe use of Nice knot, in comminuted and displaced clavicle fractures can reduce intraoperative blood loss, shorten operation time, facilitate intraoperative reduction, and achieve satisfactory postoperative clinical results. This study demonstrates that Nice knot is a simple, safe, practical and effective auxiliary reduction method.
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