ArticleOrthopaedic journal of sports medicine2025
Safety of Accelerated Return to Play After Anatomic Open Reduction and Internal Fixation of Adolescent Clavicle Fractures.
Article in Orthopaedic journal of sports medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: There is a paucity of data on the safety of an accelerated return-to-play (RTP) timeline after open reduction internal fixation (ORIF) of clavicular fractures in adolescent athletes, and whether patients may safely RTP before the traditional 10- to 14-week time point is unclear. Purpose: To assess the safety of an accelerated RTP timeline (<8 weeks) after ORIF of adolescent clavicle fractures. Study Design: Cohort study; Level of evidence, 3. Methods: This was a dual-institution, retrospective cohort study of consecutive adolescent patients (age, 10-17 years) undergoing ORIF of a midshaft or distal third clavicle fracture by 1 of 2 fellowship-trained pediatric orthopaedic surgeons from 2016 to 2024. Over the course of the study period, the senior surgeons' practices evolved with respect to their standard-of-care RTP timelines. As a result, 2 groups of patients were available for comparison: a traditional RTP group (≥8 weeks; typically 9-13 weeks) and an accelerated RTP group (<8 weeks; typically 5-7 weeks). Patient, injury, and surgical details were collected. The primary outcome was refracture/nonunion at 6 months postoperatively. Additional analyzed outcomes included infection and wound complications. Results: There were 54 patients, including 27 (50.0%) undergoing an accelerated RTP timeline and 27 (50.0%) undergoing a traditional RTP timeline. There were no significant differences in any patient, injury, or surgical characteristic between groups, including age (14.4 vs 14.6 years; Conclusion: Accelerated RTP after ORIF of adolescent clavicle fractures was not associated with a significantly increased risk of refracture/nonunion or other complications compared with a more traditional RTP timeline. The mean time to RTP in the accelerated RTP group was 6.1 weeks, with patients being cleared to RTP as soon as 3.1 weeks postoperatively. These data suggest that carefully indicated adolescent patients undergoing ORIF of clavicle fractures can RTP more quickly than previously thought. Replication of these results in additional cohorts is necessary before accelerated RTP becomes a relative indication for ORIF of these injuries.
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.