Article
Orthopedics
Shaquille J. -C Charles, Praveen Kumar, Rajiv P. Reddy, Ting Cong, Stephen Chen, Peter Mittwede, Gele Moloney, Peter Siska, Albert Lin
Summary: This study assessed the cost-effectiveness of dual plating (DP) compared with single plating (SP) in patients with operatively indicated displaced midshaft clavicle fractures. The results showed that DP fixation, despite its higher initial costs, was found to be cost-effective due to lower rates of reoperation and improved patient quality of life.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Article
Critical Care Medicine
Jing-Xin Zhao, Yan-Peng Zhao, Zhi Mao, Peng-Bin Yin, Ming Hao, Hou-Chen Lyu, Xiang Cui, Li-Cheng Zhang, Pei-Fu Tang
Summary: This study compared the clinical outcomes and complications rates between intramedullary (IM) nailing fixation and plating fixation for midshaft clavicle fractures. Meta-analysis of 10 RCTs and 3 quasi-RCTs showed that IM nailing resulted in better shoulder functional outcomes, reduced operative time, blood loss, infection rates, major complications, and revision surgery compared to plating fixation. However, further high-quality clinical trials are needed to confirm the long-term functional advantage of locked and unlocked IM nailing.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2023)
Article
Orthopedics
Pan Hong, Ruikang Liu, Saroj Rai, Renhao Ze, Xin Tang, Jin Li
Summary: Operative treatment for displaced midshaft clavicle fractures using ESIN and a plate showed similar safety and efficacy in adolescent patients. ESIN demonstrated advantages of shorter operative time, shorter hospital stay, smaller incision, and easier implant removal.
JOURNAL OF ORTHOPAEDICS AND TRAUMATOLOGY
(2022)
Article
Orthopedics
Wei-Na Ju, Shihuan Cheng, Wei-Song Qiao, Bao-Chang Qi
Summary: This study compared the efficacy of three interventions (ORPF, NSI, and IMN) for clavicle fractures in adults, demonstrating that ORPF is most successful in achieving objective functional outcomes, while IMN shows significant efficacy for subjective functional outcomes and is associated with decreased risk for adverse effects compared to other interventions.
ORTHOPAEDICS & TRAUMATOLOGY-SURGERY & RESEARCH
(2021)
Article
Multidisciplinary Sciences
Michael Zhipeng Yan, Wing-sze Yuen, Sung-ching Yeung, Christie Wong Wing-yin, Sonia Choi-ying Wong, Walter Wang Si-qi, Elaine Tian, Shireen Rashed, Colin Shing Yat Yung, Christian Xinshuo Fang
Summary: This study compares the clinical outcomes of conservative and surgical treatments for midshaft clavicular fractures. The results show that surgical intervention is associated with better functional scores and shorter healing time, especially in the intermediate-term and long-term results.
Article
Orthopedics
Jeremy A. Hall, Christine E. Schemitsch, Milena R. Vicente, Niloofar Dehghan, Aaron Nauth, Lauren L. Nowak, Emil H. Schemitsch, Michael D. McKee
Summary: The study found no difference in functional outcomes between operative and nonoperative treatment of Neer type II distal clavicle fractures. However, nonoperative management led to more complications including a higher rate of nonunion and dissatisfaction with shoulder appearance. Operative management, while a safe and reliable treatment option, often required secondary surgery for implant removal.
JOURNAL OF ORTHOPAEDIC TRAUMA
(2021)
Article
Critical Care Medicine
Koushik Narayan Subramanyam, Abhishek Vasant Mundargi, K. U. Gopakumar, Thatipamula Bharath, Milind Vittal Prabhu, Prakash Khanchandani
Summary: The study found that non-operative treatment for displaced fractures of the middle third of the clavicle resulted in good functional outcomes after one year. Factors associated with non-union included smoking, diabetes, and poor soft tissue condition around the fracture. The most important factors influencing functional outcome were fracture angulation and clavicular shortening. Threshold values for these radiological displacements were determined to estimate the probability of achieving very good function.
INJURY-INTERNATIONAL JOURNAL OF THE CARE OF THE INJURED
(2021)
Article
Orthopedics
Yoshiyasu Uchiyama, Akiyoshi Handa, Hiroko Omi, Hiroyuki Hashimoto, Eiji Shimpuku, Takeshi Imai, Naoki Takatori, Masahiko Watanabe
Summary: This study compared the clinical and radiographic outcomes of locking and nonlocking superior plate fixation for displaced midshaft clavicle fractures, showing similar complication rates and clinical results between the two methods, with shorter time to bone union observed with locking plate.
JOURNAL OF ORTHOPAEDIC SCIENCE
(2021)
Review
Orthopedics
Midhat Patel, Benton E. Heyworth, Niloofar Dehghan, Charles T. Mehlman, Michael D. McKee
Summary: Current evidence suggests that most clavicular fractures in adolescents can be treated nonoperatively, but in some cases, surgical intervention may be necessary for better outcomes. Open reduction and internal fixation with plate and screw application has consistent good results, although complications related to implants may require additional surgery. Further studies are needed to compare operative and nonoperative treatments and determine which fractures would benefit from primary fixation.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Review
Orthopedics
William M. Oliver, Katrina R. Bell, Samuel G. Molyneux, Timothy O. White, Nicholas D. Clement, Andrew D. Duckworth
Summary: This study aimed to compare surgical and nonsurgical management for adults with humeral shaft fractures in terms of patient-reported upper limb function, health-related quality of life, radiographic outcomes, and complications. The meta-analysis showed that surgery conferred an early functional advantage at 6 months, but this advantage was not sustained at 1 year. Surgery was associated with a lower risk of nonunion but a higher risk of transient radial nerve palsy. Surgery was also associated with a lower risk of reintervention.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2023)
Article
Orthopedics
Mohammad M. Alzahrani, Adam Cota, Khalid Alkhelaifi, Edward J. Harvey
Summary: This study compared the mechanical performance of 2.7- and 3.5-mm plating constructs for midshaft clavicle fractures, with the 3.5-mm plates showing increased bending stiffness. Despite lower resistance, the cold-worked 2.7-mm plate exhibited a higher yield point and required more displacement to initiate deformation.
JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPAEDIC SURGEONS
(2021)
Article
Orthopedics
I Ban, M. T. Kristensen, K. W. Barfod, J. Eschen, T. Kallemose, A. Troelsen
Summary: The study compared the functionality of adults with displaced mid-shaft clavicular fractures treated either operatively or nonoperatively and found that operative treatment showed better short-term functionality but no significant difference at one year. Nonoperative treatment had a higher risk of nonunion, but an all-operative approach may lead to unnecessary surgery.
BONE & JOINT JOURNAL
(2021)
Article
Orthopedics
Dafang Zhang, George S. M. Dyer, Brandon E. Earp
Summary: This study found that factors such as younger age, absence of diabetes, non-smoking status, higher ASA classification, fracture comminution, fracture displacement, lower social deprivation, and private insurance were associated with surgical treatment of isolated, displaced midshaft clavicle fractures. The authors concluded that patient factors, fracture characteristics, and socioeconomic factors influence the discretionary surgical treatment of midshaft clavicle fractures, and further research is needed to address social disparities and trends in treatment.
Article
Orthopedics
Fredrik Peyronson, Cecilia Stalberg Ostwald, Nils P. Hailer, Grey Giddins, Torbjorn Vedung, Daniel Muder
Summary: This study compared the outcomes of operative and nonoperative treatment for finger metacarpal fractures. The results showed that patients treated with unrestricted mobilization had similar outcomes to those treated operatively, despite metacarpal shortening. The costs and sick leave duration were significantly higher in the operative group.
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME
(2023)
Review
Orthopedics
Binbin Xing, Bin Dong, Xiaoling Che
Summary: This meta-analysis aimed to compare the efficacy and safety of two pinning fixation methods for treating supracondylar humeral fractures. The results showed that medial-lateral crossed entry pinning (MLP) was more effective in maintaining fixation, but had a higher risk of ulnar nerve injury compared to lateral-only entry pinning (LP). However, using a mini-open technique in the MLP group reduced the risk of ulnar nerve injury and ensured effective and safe treatment.
JOURNAL OF ORTHOPAEDIC SURGERY AND RESEARCH
(2023)
