Cochrane · systematic review · CD007428
Surgical interventions for treating acute fractures or non‐union of the middle third of the clavicle
Lenza, M, Faloppa, F · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library
Bone, Joint and Muscle TraumaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 4 · 57.1%Low 1 · 14.3%Moderate 0 · 0%High 0 · 0%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Intramedullary fixation versus open reduction and internal fixation with plate for treating acute middle third clavicle fractures
Population: adults (aged ≥ 16 years) with acute middle third clavicle fractures
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Function or disability (overall) Various tools (Constant score and Oxford Shoulder Score) Intramedullary fixation vs open reduction and internal fixation with plate | SMD 0.45 [0.08, 0.81] | 3 studies · 120 participants | Low Downgraded: risk of bias, imprecision, inconsistency |
Pain ‐ using the section of Constant score Scale from 0 to 15; with 15 being the best positive score Intramedullary fixation vs open reduction and internal fixation with plate | MD 0.6 | 1 study · 32 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Treatment failure (participants who have a non‐routine secondary surgical intervention) ‐ Overall treatment failure Intramedullary fixation vs open reduction and internal fixation with plate | RR 0.69 [0.16, 2.97] | 4 studies · 133 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Clinical healing ‐ time to clinical/radiographic fracture consolidation (weeks) Intramedullary fixation vs open reduction and internal fixation with plate | no estimate extracted | 3 studies · 98 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Adverse events ‐ total of adverse events (various: mainly infection; cosmetic result ‐ e.g. prominent metalwork ‐ and symptomatic hardware) Intramedullary fixation vs open reduction and internal fixation with plate | RR 0.64 [0.39, 1.03] | 4 studies · 133 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Quality of life ‐ not measured Intramedullary fixation vs open reduction and internal fixation with plate | no estimate extracted | NR | No studies |
Return to previous activities ‐ not measured Intramedullary fixation vs open reduction and internal fixation with plate | no estimate extracted | NR | No studies |