Evidence map›Paper›PMID 40514393›Full record

ReviewOperative Orthopadie und Traumatologie2026

Surgical technique of low-profile dual plating for midshaft clavicle fractures.

Bryan J M van de Wall, Nadine Diwersi, Lukas Scheuble, Yannic Lecoultre, Björn Christian Link, Reto Babst, Frank J P Beeres

Abstract readReview
In one paragraph

Review in Operative Orthopadie und Traumatologie, 2026. 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. 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.

Bryan J M van de WallDepartment of Orthopedics and Traumatology, Luzerner Kantonsspital, Spitalstraße, 6000, Luzern 16, Switzerland.
Nadine DiwersiDepartment of Surgery, Kantonsspital Obwalden, Sarnen, Switzerland.
Lukas ScheubleDepartment of Surgery, Kantonsspital Obwalden, Sarnen, Switzerland.
Yannic LecoultreDepartment of Orthopedics and Traumatology, Luzerner Kantonsspital, Spitalstraße, 6000, Luzern 16, Switzerland.
Björn Christian LinkDepartment of Orthopedics and Traumatology, Luzerner Kantonsspital, Spitalstraße, 6000, Luzern 16, Switzerland.
Reto BabstDepartment Health Sciences and Medicine, University of Luzern, Luzern, Switzerland.
Frank J P BeeresDepartment of Orthopedics and Traumatology, Luzerner Kantonsspital, Spitalstraße, 6000, Luzern 16, Switzerland. frank.beeres@luks.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThe aim of this surgical technique is fracture healing with anatomical alignment and less implant irritation due to smaller, low-profile plates. Equal to superior stability is provided compared to single superior- or anterior-based plates. INDICATIONS: The same general indications for surgical stabilization of clavicle fractures apply for low-profile double plating and include fracture displacement of one or more shaft width, shortening of more than 1 cm in length, and patients with high physical activity levels. Double plating is especially suitable for fractures in the midportion of the clavicle. CONTRAINDICATIONS: Fractures in the far lateral portion of the clavicle due to physiological thinning of the clavicle potentially causing problems with screw purchase of screws fitted in the anterior plate. SURGICAL TECHNIQUE: A 2.0 mm low-profile mini plate is used on the superior and a 2.4 or 2.7 mm on the anterior surface of the clavicle. The plates are fixated with a minimum of two cortical or locking screws on each side of the fracture in each plate. A lag screw can be used if absolute stability can be obtained in simple fractures. POSTOPERATIVE MANAGEMENT: A standard functional postoperative regime can be followed after plate fixation with free mobilization up to 90° without weight bearing for 6 weeks. Afterwards free range of motion and weight bearing are allowed.

resultsA biomechanical study, meta-analysis, and retrospective analysis have shown that low profile double plating offers equal to superior stability, lower rates of implant irritation and subsequent removal compared to conventional single plating with equal healing potential.

Indexed as

Bone PlatesClavicleFracture Fixation, InternalFractures, BoneAdultBone ScrewsEquipment Failure AnalysisFemaleFracture HealingHumansMaleMiddle AgedProsthesis DesignTreatment OutcomeBiomechanical propertiesBone fracturesFracture fixationMeta-analysisProstheses and implants

Identifiers

PMID40514393
PMCPMC13038694

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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.