Findings

What do systematic reviews say?

4 questions · 4 findings · 3 reviews · Bone, Joint and Muscle Trauma · Headline outcomes only

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No studies found 0 · 0%GRADE not reported 0 · 0%Very low 2 · 50%Low 2 · 50%Moderate 0 · 0%High 0 · 0%

Surgical vs conservative interventions

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

1 finding from 1 review

Surgical versus conservative interventions for treating fractures of the middle third of the clavicle 2019 · Cochrane Headline outcomes only
no estimate extracted
10 studies · 838 participants
Low

Summary of findings. Surgery (percutaneous wire fixation) vs not surgery (cast only)

'Treatment failure': various secondary procedures such as remanipulation for early loss of position; early or more complex wire removal ( · children with displaced distal radius fracture with intact or involved or displaced ulna fracture (both‐bone fracture)

It is very uncertain whether summary of findings. Surgery (percutaneous wire fixation) changes 'Treatment failure': various secondary procedures such as… compared with not surgery (cast only) (very low certainty).

1 finding from 1 review

Interventions for treating wrist fractures in children 2018 · Cochrane Headline outcomes only
RR 0.52 [0.33, 0.83]
4 studies · 253 participants
Very low

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