{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T06:24:13Z","timestamp":1775024653514,"version":"3.50.1"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,8,28]],"date-time":"2023-08-28T00:00:00Z","timestamp":1693180800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>More and more meta\u2010analyses have been conducted to compare the effects of intramedullary fixation (IF) and plate fixation (PF) on the outcome of midshaft clavicle fractures. It can affect the doctors' treatment decisions. A number of studies have been conducted in order to assist surgeons in selecting optimal operative procedures and to recommend operative treatment of clavicle fractures in accordance with the best available research. Our analysis of the IF and PF of clavicle fractures was done through a search for PubMed, Emabase, Web of Science, and Cochrane Library. Two different researchers analysed the research literature for quality of analysis and data extraction. The analysis of the data was done with RevMan 5.3. The 95% CI and OR models have been computed by means of either fixed\u2010dose or randomize. In addition, RCT in 114 references have been reviewed and added for further analysis. It is concluded that the application of plate and intramedullary fixation in the middle clavicle operation has remarkable influence on the outcome of post\u2010operation. There was a lower risk of postoperative wound infection in IF (OR, 5.92; 95% CI, 2.46, 14.27 <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), smaller surgical incisions (MD, 6.57; 95% CI, 4.90, 8.25 <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), and shorter operative time (MD, 17.09; 95% CI 10.42, 23.77 <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001), less blood loss (MD, 63.62; 95% CI, 55.84, 71.39 <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001) and shorter hospital stay (MD, 1.05; 95% CI, 0.84, 1.25 <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.0001). However, there is no statistical significance in the incidence of wound dehiscence. Thus, the effect of IF on the incidence of injury is better than that of the inner plate in the middle of the clavicle.<\/jats:p>","DOI":"10.1111\/iwj.14361","type":"journal-article","created":{"date-parts":[[2023,8,29]],"date-time":"2023-08-29T04:41:32Z","timestamp":1693284092000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["RETRACTED: Effect of intramedullary fixation and plate fixation on postoperative wound complications in clavicle fractures: A meta\u2010analysis"],"prefix":"10.1111","volume":"21","author":[{"given":"Shangce","family":"Lin","sequence":"first","affiliation":[{"name":"Medical School Yangtze University  Jingzhou China"},{"name":"Department of Orthopedics The First People's Hospital of Jingzhou  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jin","family":"Huang","sequence":"additional","affiliation":[{"name":"Medical School Yangtze University  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bangura Mohamed","family":"Lamin","sequence":"additional","affiliation":[{"name":"Medical School Yangtze University  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teng","family":"Zeng","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaqin","family":"Tian","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lian","family":"Liu","sequence":"additional","affiliation":[{"name":"Medical School Yangtze University  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-4580-2996","authenticated-orcid":false,"given":"Huasong","family":"Luo","sequence":"additional","affiliation":[{"name":"Department of Orthopedics The First People's Hospital of Jingzhou  Jingzhou China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,8,28]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1067\/mse.2002.126613"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00034"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00003086-199403000-00016"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.08.053"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.0790537"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ocl.2008.05.006"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00402-011-1456-5"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.3928\/01477447-20071101-13"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-007-0352-7"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2010.05.002"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-011-0158-7"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10195-014-0298-7"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00497"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.N.00449"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2011.01.018"},{"key":"e_1_2_9_17_1","article-title":"Surgical interventions for treating acute fractures or non\u2010union of the middle third of the clavicle","volume":"5","author":"Lenza M","year":"2015","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13049-015-0108-0"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00264-014-2655-9"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000001792"},{"issue":"10","key":"e_1_2_9_21_1","first-page":"1411","article-title":"A guide to interpreting discordant systematic reviews","volume":"156","author":"Jadad AR","year":"1997","journal-title":"CMAJ"},{"issue":"3","key":"e_1_2_9_22_1","first-page":"561","article-title":"Bioabsorbable versus metallic interference screws in anterior cruciate ligament reconstruction: a systematic review of overlapping meta\u2010analyses","volume":"31","author":"Mascarenhas R","year":"2015","journal-title":"Art Ther"},{"issue":"6","key":"e_1_2_9_23_1","first-page":"1207","article-title":"Does operative treatment of first\u2010time patellar dislocations Lead to increased patellofemoral stability? 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