Evidence map›Paper›PMID 41134393›Full record

ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025

Combination of MIPO and WALANT procedure versus ORIF and general anesthesia in midshaft clavicle fracture: a prospective comparative cohort study.

Meisam Jafari Kafiabadi, Saber Barazandeh Rad, Farsad Biglari, Mehrdad Sadighi, Amir Sabaghzadeh, Babak Toloue Ghamari, Adel Ebrahimpour

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
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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.

Meisam Jafari KafiabadiDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. meisamjafarikafiabadi@gmail.com.ORCID http://orcid.org/0000-0003-4869-0998
Saber Barazandeh RadDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID http://orcid.org/0000-0001-5431-0539
Farsad BiglariDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID http://orcid.org/0000-0003-0586-6236
Mehrdad SadighiDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID http://orcid.org/0000-0002-4333-3126
Amir SabaghzadehDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran.ORCID http://orcid.org/0000-0001-9225-1023
Babak Toloue GhamariDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. babak.toloueghamari@gmail.com.ORCID http://orcid.org/0009-0008-5359-7134
Adel EbrahimpourDepartment of Orthopedic Surgery, Shohada-e Tajrish Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Islamic Republic of Iran. adel.ebrahimpour@gmail.com.ORCID http://orcid.org/0000-0002-7676-3368

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMidshaft fractures are the most common type of clavicle fractures, which make up around 3% of all adult fractures. Although nonsurgical approaches have historically been used to treat these fractures, new research highlights the need for surgery. This study aims to determine the effectiveness of treating displaced midshaft clavicle fractures with a combination of minimally invasive plate osteosynthesis (MIPO) with wide-awake local anesthetic (WALANT) or open reduction and internal fixation (ORIF) with general anesthesia (GA).

methodsIn this prospective cohort study, 30 patients requiring surgical intervention for clavicle fractures were divided into two groups. Group A underwent MIPO with WALANT, and Group B underwent ORIF with GA. Patients were followed 18-24 months after surgery, with baseline characteristics balanced between the groups.

resultsGroup A demonstrated advantages in incision length, amount of bleeding, and surgery duration compared to the other group. However, wound complications, union rates, and pain levels were similar in both groups.

conclusionWith comparable surgical outcomes, the MIPO with WALANT technique offers a less invasive, patient-friendly, and economical approach for healthcare systems. It is potentially one of the standard techniques for treating clavicle fractures in the midshaft. LEVEL OF EVIDENCE: II.

Indexed as

Anesthesia, GeneralAnesthetics, LocalClavicleFracture Fixation, InternalFractures, BoneOpen Fracture ReductionAdultBone PlatesFemaleHumansMaleMiddle AgedMinimally Invasive Surgical ProceduresOperative TimePostoperative PainProspective StudiesAnesthetics, LocalBlood lossLocal anesthesiaOrthopedic surgeryPatient outcomesPlate fixationSurgical time

Identifiers

PMID41134393

What OpenQuestion holds

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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.