ReviewCureus2025
Outcomes of Fixation of Lateral-End Clavicle Fractures Using Locking Clavicular Plate With Acromioclavicular TightRope Augmentation: A Meta-Analysis.
Review in Cureus, 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.
- Non-tobacco nicotine dependence is associated with increased complications following clavicle open reduction internal fixation.Archives of orthopaedic and trauma surgery · 2026Article
- Hook plate versus locking plate fixation in lateral clavicle fractures: operative efficiency and cumulative surgical burden in a propensity score-matched cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 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
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Lateral-end clavicle fractures, especially unstable Neer IIb patterns, are prone to nonunion due to disruption of the acromioclavicular (AC) ligaments. Conventional plate or hook plate fixation may provide inadequate stability. Locking plate fixation augmented with AC TightRope (Arthrex, Naples, FL, USA) or suture button construct aims to improve stability, accelerate healing, and enhance functional recovery. The objective of this study is to evaluate the efficacy of augmented fixation compared with conventional fixation in terms of union, functional outcomes, pain, and complications. A systematic review and meta-analysis of studies published up to October 2025 was conducted, including clinical and biomechanical studies comparing locking plate with or without AC augmentation. Outcomes included Constant-Murley Score (CMS), Visual Analog Scale (VAS), union rate, union time, and complications. Quality was assessed using the Newcastle-Ottawa Scale and a biomechanical checklist. Five studies met the inclusion criteria. Augmented fixation showed higher CMS (MD = 4.4; 95% CI [2.1, 6.7]), faster union (-2.2 weeks; 95% CI [-3.5, -0.9]), lower VAS (-1.54; 95% CI [-2.3, -0.8]), and fewer complications (OR = 0.38; 95% CI [0.15, 0.95]) compared with conventional fixation. Union rates were consistently high (97-100%) in clinical studies, and biomechanical data demonstrated superior construct stability. Locking plate fixation with AC TightRope or suture-button augmentation provides improved function, faster healing, reduced pain, and lower complication rates in unstable lateral-end clavicle fractures.
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Registered trials
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