{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T13:28:56Z","timestamp":1781270936488,"version":"3.54.1"},"reference-count":39,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T00:00:00Z","timestamp":1528070400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Shoulder &amp; Elbow"],"published-print":{"date-parts":[[2019,2]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The hypothesis of this study was that patient selection for midshaft clavicle fracture (open reduction internal fixation with plate versus conservative) would give better functional outcome than random treatment allocation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We performed a systematic literature search for primary studies providing functional score and non-union rate after conservative or surgical management of midshaft clavicle fractures. Six randomized controlled trial and 19 non-randomized controlled trial studies encompassing a total of 1348 patients were included.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Patients treated with surgical management were found to have statistically superior Constant scores in non-randomized controlled trials than in randomized controlled trials (94.76\u2009\u00b1\u20096.4 versus 92.49\u2009\u00b1\u20096.2; p\u2009&lt;\u20090.0001). For conservative treatment, randomized controlled trials were found to have significantly better functional outcome. The prevalence of non-union (6.1%) did not show significant statistical difference between non-randomized controlled trial and randomized controlled trial studies. The functional outcome after surgical management was significantly higher than after conservative management in both randomized controlled trial and non-randomized controlled trial groups. The non-union rate after surgery (1.1% for both non-randomized controlled trial and randomized controlled trial) was significantly lower than following conservative treatment (9.9% non-randomized controlled trial versus 15.1% randomized controlled trial).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This review shows that patient selection for surgery may influence functional outcome after midshaft clavicle fracture. Our results also confirm that plate fixation provides better functional outcome and lower non-union rate.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1758573218777996","type":"journal-article","created":{"date-parts":[[2018,6,4]],"date-time":"2018-06-04T10:02:30Z","timestamp":1528106550000},"page":"9-16","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Does candidate for plate fixation selection improve the functional outcome after midshaft clavicle fracture? A systematic review of 1348 patients"],"prefix":"10.1177","volume":"11","author":[{"given":"M","family":"Vautrin","sequence":"first","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G","family":"Kaminski","sequence":"additional","affiliation":[{"name":"UMR 5263, Laboratoire CLLE-LTC, Toulouse, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Barimani","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Imperial College London, London, UK"},{"name":"Division of Orthopedic Surgery, Department of Surgery, McGill University, Montreal, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Elmers","sequence":"additional","affiliation":[{"name":"Faculty of Biology and Medicine Library, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V","family":"Philippe","sequence":"additional","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Cherix","sequence":"additional","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E","family":"Thein","sequence":"additional","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"O","family":"Borens","sequence":"additional","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"F","family":"Vauclair","sequence":"additional","affiliation":[{"name":"Orthopedic Trauma Surgery Unit, Department of the Locomotor Apparatus, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2018,6,4]]},"reference":[{"key":"bibr1-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1017\/S1745855207005029"},{"key":"bibr2-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.12.013"},{"key":"bibr3-1758573218777996","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.J.01364"},{"key":"bibr4-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1097\/01.bot.0000172287.44278.ef"},{"key":"bibr5-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1302\/0301-620X.79B4.7529"},{"key":"bibr6-1758573218777996","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.H.00034"},{"key":"bibr7-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.b2700"},{"key":"bibr8-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000097"},{"key":"bibr9-1758573218777996","doi-asserted-by":"publisher","DOI":"10.3944\/AOTT.2011.2431"},{"key":"bibr10-1758573218777996","doi-asserted-by":"publisher","DOI":"10.3109\/17453674.2011.652884"},{"key":"bibr11-1758573218777996","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.L.00307"},{"key":"bibr12-1758573218777996","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2014.11.041"},{"key":"bibr13-1758573218777996","first-page":"Rc01","volume":"11","author":"Shetty 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