Anteroinferior versus superior plating of clavicular fractures

Hulsmans, Martijn; Heijl, Mark van; Houwert, Roderick M.; Timmers, Tim K.; Olden, Ger van; Verleisdonk, E. J. M. M.

doi:10.1016/j.jse.2015.09.005

Cited by 38 publications

(25 citation statements)

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“…After screening the titles and abstracts, 34 records potentially fit our eligibility criteria. Then with full text screened, 12 studies were included [13, 20–30] in the final analysis. And the flowchart of literature selection are shown in Fig.…”

Section: Resultsmentioning

confidence: 99%

“…Of the 12 articles included in our quantitative analysis, eight studies were retrospective studies [13, 21–24, 26, 29, 30], and the other four articles were randomized controlled trails [20, 25, 27, 28]. Only one study was multi-center study [13], and the rest of them were single-center study.…”

Section: Resultsmentioning

confidence: 99%

“…Only one study was multi-center study [13], and the rest of them were single-center study. Three studies included clavicle fracture of the aged [22, 25, 27], and midshaft clavicle fracture was studied in four studies [21, 23, 24, 26].…”

Section: Resultsmentioning

confidence: 99%

“…Zlowodzki and colleagues presented that superior plating was associated with more symptoms [5]. In addition, evidences indicated that the anterior inferior plating may reduce the risk of damaging the underlying neurovascular bundle and implant prominence [9–13]. However, Robertson and colleagues demonstrated that compared with the anterior inferior plating, the superior plating was preferred because of an advantage in fracture fixation, which could be seen in routine activity [13].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, evidences indicated that the anterior inferior plating may reduce the risk of damaging the underlying neurovascular bundle and implant prominence [9–13]. However, Robertson and colleagues demonstrated that compared with the anterior inferior plating, the superior plating was preferred because of an advantage in fracture fixation, which could be seen in routine activity [13]. Furthermore, a previous studies reported that the superior plating had greater biomechanical stability [14].…”

Section: Introductionmentioning

confidence: 99%

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Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis

Kan

et al. 2017

BMC Musculoskelet Disord

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BackgroundThe position of plate fixation for clavicle fracture remains controversial. Our objective was to perform a comprehensive review of the literature and quantify the surgical parameters and clinical indexes between the anterior inferior plating and superior plating for clavicle fracture.MethodsPubMed, EMBASE, and the Cochrane Library were searched for randomized and non-randomized studies that compared the anterior inferior plating with the superior plating for clavicle fracture. The relative risk or standardized mean difference with 95% confidence interval was calculated using either a fixed- or random-effects model.ResultsFour randomized controlled trials and eight observational studies were identified to compare the surgical parameters and clinical indexes. For the surgical parameters, the anterior inferior plating group was better than the superior plating group in operation time and blood loss (P < 0.05). Furthermore, in terms of clinical indexes, the anterior inferior plating was superior to the superior plating in reducing the union time, and the two kinds of plate fixation methods were comparable in constant score, and the rate of infection, nonunion, and complications (P > 0.05).ConclusionsBased on the current evidence, the anterior inferior plating may reduce the blood loss, the operation and union time, but no differences were observed in constant score, and the rate of infection, nonunion, and complications between the two groups. Given that some of the studies have low quality, more randomized controlled trails with high quality should be conduct to further verify the findings.Electronic supplementary materialThe online version of this article (doi:10.1186/s12891-017-1517-1) contains supplementary material, which is available to authorized users.

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Section: Resultsmentioning

confidence: 99%