Evidence map›Paper›PMID 40195423›Full record

ArticleScientific reports2025

Limitations in rotational correction: 3D displacement analysis of midshaft clavicle fractures with titanium elastic nails.

Junwei Zhang, Weizhi Nie, Hongzheng Bi, Jinyong Hou, Zhaohui Li, Zhenyuan Ma, Laibao Duan, Lingling Chen, Peng Zhang, Hongjiang Jiang

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

1 citing paper in PubMed.

  1. A novel concept for splint fixation of midshaft clavicle fractures: a biomechanical feasibility study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    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

10 authors.

Junwei ZhangDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Weizhi NieDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Hongzheng BiDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Jinyong HouDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Zhaohui LiDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Zhenyuan MaDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Laibao DuanDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Lingling ChenDepartment of Orthopedics, Shandong Wendeng Osteopathic Hospital, Weihai, Shandong, China.
Peng ZhangShenzhen Institute of Advanced Technology Chinese Academy of Sciences, Shenzhen, Guangdong, China.
Hongjiang JiangDepartment of Joint Surgery, Shandong Wendeng Osteopathic Hospital, No. 1, Fengshan Road, Wendeng District, Weihai, 264400, Shandong, China. 15806314586@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To investigate the three-dimensional displacement of midshaft clavicular fractures after closed reduction and fixation with titanium elastic intramedullary nails. From January 2019 to January 2023, 74 patients with midshaft clavicle fractures (classified according to the AO/OTA system as groups A, B, and C) underwent closed reduction and titanium elastic nail fixation. Preoperative bilateral clavicular CT data and postoperative CT data of the affected clavicle were recorded and processed using Mimics software. Clavicle length, clavicle shortening, separation, and rotational displacement along the X/Y/Z axes were measured and recorded. Within-group comparisons showed a significant reduction in clavicle shortening and separation displacements, with a notable restoration of clavicle length postoperatively (p < 0.05). Except for Z-axis rotational displacement in Group A, no significant differences were observed in clavicle rotational displacement along the X/Y/Z axes between preoperative and postoperative measurements (p > 0.05). Between-group comparisons showed that preoperative separation displacement was significantly associated with AO/OTA classification (H = 6.427, p = 0.040), while no significant differences were observed in other displacements between preoperative and postoperative measurements across groups. Titanium elastic intramedullary nails effectively restore clavicular length and correct shortening and separation displacement in midshaft fractures, but do not significantly improve rotational displacement along the X/Y/Z axes.

Indexed as

Bone NailsClavicleFracture Fixation, IntramedullaryFractures, BoneTitaniumAdultFemaleHumansImaging, Three-DimensionalMaleMiddle AgedTomography, X-Ray ComputedYoung AdultTitaniumClavicular fractureElastic intramedullary nailingThree-dimensional displacement

Identifiers

PMID40195423
PMCPMC11976972

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Registered trials

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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.