{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:25:02Z","timestamp":1762867502670},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:sec>\n            <jats:title>Objectives:<\/jats:title>\n            <jats:p>To evaluate mid-term patient-reported satisfaction and residual symptoms after plate fixation (PF) or nonoperative treatment (NOT) for displaced midshaft clavicular fractures.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Design:<\/jats:title>\n            <jats:p>Follow-up survey of randomized controlled trial.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Setting:<\/jats:title>\n            <jats:p>Sixteen teaching and nonteaching hospitals.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Participants:<\/jats:title>\n            <jats:p>All 160 patients with a fully displaced, midshaft clavicular fracture who had been randomized were approached by telephone.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Intervention:<\/jats:title>\n            <jats:p>Randomization for open reduction and internal PF or a sling for 2 weeks (NOT).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Main Outcome Measurements:<\/jats:title>\n            <jats:p>Outcomes were satisfaction with the received treatment, with the cosmetic result and with shoulder function (on a scale of 1\u201310), and presence of residual symptoms.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Seventy-nine patients (40 after PF and 39 after NOT) could be contacted. The median follow-up was 53 (34\u201379) months. Overall satisfaction was similar for PF and NOT (mean \u00b1 SD: 7.7 \u00b1 2.1 vs. 6.9 \u00b1 2.4, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.12), as was satisfaction with the shoulder function (8.9 \u00b1 1.6 vs. 8.4 \u00b1 2.0, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.27). Satisfaction with the cosmetic result was higher after PF (8.2 \u00b1 1.6 vs. 6.8 \u00b1 2.0, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.002). Residual symptoms were frequently present in both groups (55% for PF vs. 41% for NOT, <jats:italic toggle=\"yes\">P<\/jats:italic> = 0.26). After PF, 88% of patients would prefer the same treatment again compared with 41% after NOT (<jats:italic toggle=\"yes\">P<\/jats:italic> &lt; 0.001).<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>Aspects of satisfaction seem higher after PF. Residual symptoms, however, were common after both treatments for clavicular fractures. The present results can be used to manage patients' expectations and provide objective information regarding both treatment options before a shared treatment decision is made.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Level of Evidence:<\/jats:title>\n            <jats:p>Therapeutic Level II. See Instructions for Authors for a complete description of levels of evidence.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/bot.0000000000001269","type":"journal-article","created":{"date-parts":[[2018,8,7]],"date-time":"2018-08-07T20:50:35Z","timestamp":1533675035000},"page":"e435-e439","source":"Crossref","is-referenced-by-count":6,"title":["Mid-Term Patient Satisfaction and Residual Symptoms After Plate Fixation or Nonoperative Treatment for Displaced Midshaft Clavicular Fractures"],"prefix":"10.1097","volume":"32","author":[{"given":"Sarah","family":"Woltz","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pieta","family":"Krijnen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Inger B.","family":"Schipper","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230828","doi-asserted-by":"crossref","first-page":"1057","DOI":"10.1097\/MD.0000000000001057","article-title":"Surgical versus conservative treatments for displaced midshaft clavicular fractures a systematic review of overlapping meta-analyses","volume":"94","author":"Zhao","year":"2015","journal-title":"Medicine"},{"key":"R2-20230828","doi-asserted-by":"crossref","first-page":"1051","DOI":"10.2106\/JBJS.16.01068","article-title":"Plate Fixation versus nonoperative treatment for displaced midshaft clavicular fractures: a meta-analysis of randomized controlled trials","volume":"99","author":"Woltz","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"R3-20230828","first-page":"CD009363","article-title":"Surgical versus conservative interventions for treating fractures of the middle third of the clavicle","volume":"6","author":"Lenza","year":"2013","journal-title":"Cochrane Database Syst Rev"},{"key":"R4-20230828","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.2106\/JBJS.16.01112","article-title":"The clavicle trial: a multicenter randomized controlled trial comparing operative with nonoperative treatment of displaced midshaft clavicle fractures","volume":"99","author":"Ahrens","year":"2017","journal-title":"J Bone Joint Surg Am"},{"key":"R5-20230828","doi-asserted-by":"crossref","DOI":"10.1097\/BOT.0000000000001174","article-title":"Open reduction and internal fixation versus non-surgical treatment in displaced midshaft clavicle fractures: a meta-analysis","volume":"32","author":"Ahmed","year":"2018","journal-title":"J Orthop Trauma"},{"key":"R6-20230828","doi-asserted-by":"crossref","first-page":"1","DOI":"10.2106\/JBJS.F.00020","article-title":"Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures: a multicenter, randomized clinical trial","volume":"89","year":"2007","journal-title":"J Bone Joint Surg Am"},{"key":"R7-20230828","doi-asserted-by":"crossref","first-page":"34","DOI":"10.3944\/AOTT.2011.2431","article-title":"Comparison between operative and nonoperative treatment methods in the management of comminuted fractures of the clavicle","volume":"45","author":"Mirzatolooei","year":"2011","journal-title":"Acta Orthop Traumatol Turc"},{"key":"R8-20230828","doi-asserted-by":"crossref","first-page":"2223","DOI":"10.1016\/j.injury.2015.08.004","article-title":"Plate fixation versus conservative treatment of displaced midshaft clavicle fractures: functional outcome and patients' satisfaction during a mean follow-up of 5 years","volume":"46","author":"van der Ven","year":"2015","journal-title":"Injury"},{"key":"R9-20230828","doi-asserted-by":"crossref","first-page":"675","DOI":"10.2106\/JBJS.J.01364","article-title":"Operative versus nonoperative care of displaced midshaft clavicular fractures: a meta-analysis of randomized clinical trials","volume":"94","author":"McKee","year":"2012","journal-title":"J Bone Joint Surg Am"},{"key":"R10-20230828","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1302\/0301-620X.79B4.0790537","article-title":"Closed treatment of displaced middle-third fractures of the clavicle gives poor results","volume":"79","author":"Hill","year":"1997","journal-title":"J Bone Joint Surg Br"},{"key":"R11-20230828","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.jse.2004.01.026","article-title":"Can we predict long-term sequelae after fractures of the clavicle based on initial findings? 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