Evidence map›Paper›PMID 37130985›Full record

Observational studyEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2023

Midshaft clavicle fractures: is anterior plating an acceptable alternative to superior plating?

Brian H Mullis, Kyle J Jeray, Scott Broderick, Stephanie L Tanner, Becky G Snider, Joshua Everhart, Southeastern Fracture Consortium

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Is there a difference in plate positioning for clavicle shaft fractures? A retrospective cohort study of 355 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Does plate position influence the outcome in midshaft clavicular fractures? A multicenter analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  6. Article
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

7 authors at 3 institutions in 1 country.

Brian H MullisDepartment of Orthopaedic Surgery, Indiana University, 1801 N Senate Blvd, Ste 535, Indianapolis, IN, 46202, USA. bmullis@iupui.edu.ORCID http://orcid.org/0000-0002-5750-2533
Kyle J JerayDepartment of Orthopaedics, Prisma Health, Columbia, SC, USA.
Scott BroderickSpartanburg Regional Health System, Spartanburg, SC, USA.
Stephanie L TannerDepartment of Orthopaedics, Prisma Health, Columbia, SC, USA.
Becky G SniderDepartment of Orthopaedics, Prisma Health, Columbia, SC, USA.
Joshua EverhartDepartment of Orthopaedic Surgery, Indiana University, 1801 N Senate Blvd, Ste 535, Indianapolis, IN, 46202, USA.
Southeastern Fracture Consortium
Prisma Health · USIndiana University – Purdue University Indianapolis · USSpartanburg Regional Healthcare System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe purpose of this study was to determine whether anterior plating is better tolerated than superior plating for midshaft clavicle fractures.

methodsThis was a prospective non-randomized observational cohort study following operative vs. non-operative management of clavicle fractures from 2003 to 2018 at 7 level 1 academic trauma centers in the USA. The subset of patients treated with plate and screws is the basis for this comparative study. Adults aged 18-85 with closed clavicle fractures displaced over 100% or shortened by more than 1.5 cm were eligible for enrollment. Patients were followed for 2 years following enrollment. Allowable fixation methods at the discretion of the surgeon consisted of anterior-inferior or superior plating. A total of 412 patients were enrolled. Of these, 192 patients received either superior or anterior plating for a displaced clavicle fracture with complete documented prospective research forms capturing type of plating technique. The primary outcome measure was hardware removal (HWR). Secondary outcomes were Disability of the Arm Shoulder and Hand (DASH) score and Visual Analog Pain (VAP) score, and satisfaction score (1 = high satisfaction; 5 = low satisfaction).

resultsThere was no difference in HWR rates (7.1% superior 9/127; 6.2% anterior 4/65, p = 0.81), VAP score (mean 1.5 SD 1.0 superior; mean 1.7 SD 0.6 anterior, p = 0.21), DASH score (mean 7.5 SD 12.4 superior; mean 5.2 SD 15.2 anterior; p = 0.18) or satisfaction score (mean 1.6 SD 1.0 superior; mean 1.7 SD 0.60 anterior, p = 0.18).

conclusionThere is no difference in HWR rates or functional outcomes when using a superior vs. anterior plating technique.

Indexed as

Fractures, BoneShoulder FracturesAdultBone PlatesClavicleFracture Fixation, InternalFracture HealingHumansProspective StudiesTreatment OutcomeAnteriorClavicleFractureHardwareRemovalSuperior

Identifiers

PMID37130985
OpenAlexW4367672635

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.