ArticleJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews2025
Complication Risks Following Open Reduction Internal Fixation Versus Nonsurgical Treatment of Scapular Fractures.
Article in Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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.
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.
Who cites it
2 citing papers in PubMed.
- Surgical treatment of complex scapular fractures: a single centre prospective observational study.Journal of orthopaedic surgery and research · 2026Observational
- Complication rates following total shoulder arthroplasty for osteoarthritis versus proximal humerus fracture: a propensity-matched cohort comparison of 9,190 patients.Journal of shoulder and elbow arthroplasty · 2026Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundScapula fractures vary considerably in type, location, and management. Surgical management is commonly through open reduction internal fixation (ORIF), but the existing literature on its clinical outcomes is inconsistent compared with conservative management. This descriptive study reports the risk of short- and long-term complications from ORIF and nonsurgical treatment of various scapula fracture subtypes.
methodsRetrospective analysis of the TriNetX database was performed. Twelve cohorts were created, with two for each treatment modality for every fracture location investigated, including glenoid cavity, scapula body, neck, coracoid, acromion, and all fractures combined. Patients treated with surgery other than ORIF were excluded. Demographics and comorbidity prevalence were identified. Orthopaedic and medical complications were measured at 90 days, 1 year, and 5 years.
resultsGlenoid and scapular body fracture patients were the most and least treated with ORIF, respectively. In the ORIF cohorts, coracoid fracture patients saw risk for shoulder dislocation (3.6%) and brachial plexus injuries (3.0%) at 3 months, whereas acromion fracture patients had risk of malunion/nonunion (4.6%), ORIF revision (6.2%), and shoulder osteoarthritis (10.3%) 5 years after surgery. In the nonsurgical cohorts, glenoid fracture patients were at risk for shoulder stiffness, osteoarthritis, and arthroplasty at all time intervals.
conclusionCoracoid and acromion fracture patients following ORIF, and glenoid fracture patients following nonsurgical treatment, were at risk for several mechanical complications. Such patients should be thoroughly counseled by their surgeons on these risks, and closely monitored following injury to ensure that adverse outcomes may be caught early and addressed to preserve their shoulder function.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.