Findings

What do systematic reviews say?

2 questions · 2 findings · 1 reviews · Bone, Joint and Muscle Trauma

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 1 · 50%Low 1 · 50%Moderate 0 · 0%High 0 · 0%

Intramedullary fixation vs open reduction and internal fixation with plate

Function (overall) Various tools · adults (aged ≥ 16 years) with acute middle third clavicle fractures

Intramedullary fixation may leads to higher function or disability (overall) Various tools (Constant score and… compared with open reduction and internal fixation with plate (low certainty).

1 finding from 1 review

Surgical interventions for treating acute fractures or non‐union of the middle third of the clavicle 2015 · Cochrane Headline outcomes only
SMD 0.45 [0.08, 0.81]
3 studies · 120 participants
Low

Intramedullary fixation vs open reduction and internal fixation with plate

Adverse events ‐ total of adverse events (various: mainly infection; cosmetic result ‐ e.g. prominent metalwork ‐ and symptomatic hardware) · adults (aged ≥ 16 years) with acute middle third clavicle fractures

It is very uncertain whether intramedullary fixation changes adverse events ‐ total of adverse events (various: mainly infection;… compared with open reduction and internal fixation with plate (very low certainty).

1 finding from 1 review

Surgical interventions for treating acute fractures or non‐union of the middle third of the clavicle 2015 · Cochrane Headline outcomes only
RR 0.64 [0.39, 1.03]
4 studies · 133 participants
Very low