Evidence map›Paper›PMID 41179470›Full record

ArticleJSES reviews, reports, and techniques2025

Beach-chair and dorsal decubitus positioning in minimally invasive plate osteosynthesis for midshaft clavicle fractures: a comparative study.

Guilherme Henrique Vieira Lima, Vitor La Banca, Gabriela Pereira Aguiar, Nataniel Sousa Santos Filho Ana Victória Palagi Viganó, Henrique Schaffhausser, Luiz Henrique Oliveira Almeida, Luís Gustavo Prata Nascimento, Joel Murachovsky, Roberto Yukio Ikemoto

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Article in JSES reviews, reports, and techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

Who cites it

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Guilherme Henrique Vieira LimaDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Vitor La BancaDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Gabriela Pereira AguiarDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Nataniel Sousa Santos Filho Ana Victória Palagi ViganóDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Henrique SchaffhausserDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Luiz Henrique Oliveira AlmeidaDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Luís Gustavo Prata NascimentoDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Joel MurachovskyDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.
Roberto Yukio IkemotoDisciplina de Ortopedia e Traumatologia, Faculdade de Medicina do ABC (FMABC), Santo André, SP, Brazil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Minimally invasive plate osteosynthesis is a viable alternative to open reduction and internal fixation for treating midshaft clavicle fractures, with advantages such as reduced complication rates and improved patient satisfaction. However, no consensus exists regarding the optimal surgical positioning-beach-chair (BC) or horizontal dorsal decubitus. This study hypothesized that dorsal decubitus (DD) positioning would result in lower surgical time (ST) and blood loss than BC positioning. Methods: A retrospective cohort study included 30 patients treated for midshaft clavicle fractures with the minimally invasive plate osteosynthesis technique between 2020 and 2022. Patients were categorized into BC (n = 11) or DD (n = 19) positioning groups. Perioperative parameters, including positioning time (PT), ST, total surgical time, fluoroscopy time, surgical blood loss, delta hemoglobin, and delta hematocrit, were analyzed. Comparisons were made using t-tests or Mann-Whitney U tests. Results: PT was significantly shorter in the DD group (8.1 ± 5.1 minutes) compared to the BC group (12.5 ± 2.3 minutes; Discussion and/or conclusion: This study found no significant differences in most perioperative parameters between BC and DD positioning, except for shorter PT in DD. Surgeons may select positioning based on practical considerations without compromising outcomes. Further research with larger cohorts is warranted.

Indexed as

Beach chair positioningClavicle fracturesDorsal decubitus positioningMIPOPerioperative parametersSurgical outcomes

Identifiers

PMID41179470
PMCPMC12573456

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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.