Evidence map›Paper›PMID 36426961›Full record

ArticleSICOT-J2022

Operative stabilisation versus non-operative management of mid-shaft clavicle fractures.

Alla Vasanth Kumar, K Ramachandra Kamath, Preetham Raj V Salian, Sunil Lakshmipura Krishnamurthy, Rajendra Annappa, Ishwara Keerthi

Abstract read
In one paragraph

Article in SICOT-J, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

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.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Alla Vasanth KumarDepartment of Orthopaedics, Asram Medical College, Eluru, Andhra Pradesh, India.ORCID 0000-0003-1358-7560
K Ramachandra KamathDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-5603-8994
Preetham Raj V SalianDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-2473-5357
Sunil Lakshmipura KrishnamurthyClinical Fellow in Sports Injury and Arthroscopy, Department of Orthopaedics, Division of Sports Injury and Arthroscopy, St John's Medical College, Bangalore, Karnataka 560034, India.ORCID 0000-0002-4197-3939
Rajendra AnnappaDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0002-2604-3709
Ishwara KeerthiDepartment of Orthopaedics, Kasturba Medical College, Mangalore, Manipal Academy of Higher Education, Manipal, Karnataka 576104, India.ORCID 0000-0001-7297-2309

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionFractures of the mid-shaft clavicle are commonly encountered in clinical practice. These can be managed either by conservative method or operative by internal fixation. This study aims to compare the outcomes of conservative and operative management.

methodsForty patients with displaced and comminuted mid-shaft clavicle fractures were included in the study, among which twenty-five patients were treated conservatively and 15 patients underwent surgery and were followed up for a period of 1 year. Time taken for union, functional outcome, complications, and patient satisfaction were compared.

resultsIn the non-operative group, 28% of the fractures took less than twelve weeks to unite, whereas in the operative group 60% of them took less than 12 weeks to unite. At the end of 1 year, there was no statistical difference in mean UCLA (University of California and Los Angeles) score and the mean DASH score of the non-operative group and operative group. There were more complications in the operative group. Re-operative rate in the operative group was 40%. Patient satisfaction was 80% in the non-operative group, whereas 48% of patients were satisfied in the operative group.

conclusionDisplaced and comminuted mid-shaft clavicle fractures treated conservatively have more advantages when compared to surgically treated fractures.

Indexed as

Clavicle plate fixationConservative managementMidshaft clavicle fracture

Identifiers

PMID36426961
PMCPMC9879146

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