ArticleBMC musculoskeletal disorders2022
Surgical treatment, complications, reoperations, and healthcare costs among patients with clavicle fracture in England.
Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Clavicular bone defects managed with free vascularised fibular grafting: evidence to date.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2023Pooled it
- Prospective Evaluation of Clavicle Fracture Osteosynthesis: Patient Satisfaction, Clinical, and Radiological Outcomes with Clavipectoral Fascial Plane Block.Journal of orthopaedic case reports · 2026Article
- Predictors for complications and the removal of osteosynthesis material after mandibular fractures: a retrospective analysis.BMC oral health · 2026Article
- Article
- The burden of hand trauma surgery on primary care in the United Kingdom: a nation-wide analysis of antibiotic and opioid prescriptions.The Journal of hand surgery, European volume · 2025Article
- Clavicular Fracture Associated with Subclavian Artery Lesion: Case Report and Review of the Literature.Journal of orthopaedic case reports · 2025Article
- Virtual Acute Shoulder Clinic (VASC): A Safe, Sustainable and Cost-Effective Model.Indian journal of orthopaedics · 2025Article
- Finite element modeling of clavicle fracture fixations: a systematic scoping review.Medical & biological engineering & computing · 2025Article
- Erroneous Classification and Coding as a Limitation for Big Data Analyses: Causes and Impacts Illustrated by the Diagnosis of Clavicle Injuries.Diagnostics (Basel, Switzerland) · 2025Article
- Article
- Observational case series on the clinical performance of the Variable Angle Clavicle Plate and Clavicle Hook Plate 2.7 systems: a study protocol.Frontiers in surgery · 2025Article
- Does the treatment modality affect nosocomial pneumonia and other in-hospital outcomes in patients with combined injuries to the ribs and clavicle? A propensity score weighted analysis of a retrospective cohort.Archives of orthopaedic and trauma surgery · 2024Article
- Surgical treatment options of displaced midshaft fractures of the clavicle in young adults: plate fixation versus intramedullary nailing.Clinics in shoulder and elbow · 2024Article
- A 65-Year-Old Female with Missed Open Clavicle Fracture and Subsequent Fracture-Related Infection, Treated with Distal Clavicle Resection.Journal of orthopaedic case reports · 2024Article
- [Effectiveness of minimally invasive internal fixation with locking plates for mid-shaft clavicle fractures].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2024Article
- Clavicle midshaft fractures should not be considered an easy surgery: reduction and prebending.Clinics in shoulder and elbow · 2023Article
- Revision surgery after failed surgical treatment of midshaft clavicle fractures is often associated with positive detection of bacteria.Archives of orthopaedic and trauma surgery · 2023Article
- Management of Displaced Midshaft Clavicle Fractures with Figure-of-Eight Bandage: The Impact of Residual Shortening on Shoulder Function.Journal of personalized medicine · 2022Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe clinical and economic burden of clavicle fractures in England is not well documented. This study evaluated rates of surgical treatment, post-surgical complications, reoperations and costs in patients with clavicle fractures using the Clinical Practice Research Datalink (CPRD) database.
methodsCPRD data were linked to National Health Service Hospital Episode Statistics data. Patients with a diagnosis of clavicle fracture between 2010-2018 were selected in CPRD (date of fracture = index date). Of those, patients with surgical intervention within 180 days from index fracture were identified. Rates of post-surgical complications (i.e., infection, non-union, and mal-union), reoperations (for device removal or for postoperative complications), post-operative costs and median time to reoperations were evaluated up to 2 years after surgery.
results21,340 patients with clavicle fractures were identified (mean age 35.0 years(standard deviation (SD): 26.5), 66.7% male). Surgery was performed on 672 patients (3.2% of total cohort) at an average 17.1 (SD: 25.2) days post-fracture. Complications (i.e., infection, non-union, or malunion) affected 8.1% of surgically treated clavicle fracture patients; the rate of infection was 3.5% (95% CI, 1.7%- 5.2%), non-union 4.4% (95% CI, 2.4%-6.5%), and mal-union 0.3% (95% CI, 0%-0.7%). Adjusting for age, gender, comorbidities and time to surgery, the all-cause reoperation rate was 20.2% (13.2%-30.0%) and the adjusted rate of reoperation for implant removal was 17.0% (10.7%-25.9%)-84% of all-cause reoperations were thus performed for implant removal. Median time to implant removal was 254 days. The mean cost of reoperations for all causes was £5,000. The most expensive reoperations were for cases that involved infection (mean £6,156).
conclusionsComplication rates following surgical clavicle fracture care averaged 8.1%. However, reoperation rates exceed 20%, the vast majority of reoperations being performed for device removal. Technologies to alleviate secondary device removal surgeries would address a significant clinical unmet need.
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