SynthesisEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2025
Dual-plating is associated with lower implant removal rates compared with single-plate fixation for midshaft clavicle fractures: a meta-analysis.
Synthesis in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
1 citing paper in PubMed.
- Practice patterns in indications, timing, and imaging for clavicle hardware removal: a survey among German-speaking shoulder surgeons.BMC musculoskeletal disorders · 2026Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDisplaced midshaft clavicle fractures are often managed operatively, with single-plate fixation serving as the standard approach. Dual-plate fixation has emerged as an alternative, particularly for complex fracture patterns, aiming to reduce hardware-related complications and enhance biomechanical stability. The aim of this study was to compare outcomes and complications following single and dual-plating techniques for midshaft clavicle fractures.
methodsA systematic literature search was performed using PubMed, Scopus, Embase, and Google Scholar through July 20, 2025. Comparative studies evaluating dual- versus single-plate fixation for midshaft clavicle fractures in adults were included. Seven studies met inclusion criteria, including 825 patients with midshaft clavicle fractures. Outcomes assessed included operative time, the American Shoulder and Elbow Surgeons (ASES) score, nonunion rates, other complication rates, implant removal rates, and overall reoperation rates.
resultsDual-plate fixation was associated with significantly lower implant removal rates (risk ratio (RR) = 2.58; 95% CI: 1.45-4.57; p = 0.001) and overall reoperation rates (RR = 2.94; 95% CI: 1.47-5.87; p = 0.002) compared to single-plate fixation. Additionally, a borderline statistically significant reduction in other complications was observed with dual plating (RR = 1.95; 95% CI: 1.01-3.80; p = 0.05), with complication rates of 7.0% versus 19.4%, respectively. No statistically significant differences were found in operative time, ASES scores, or nonunion rates (all p ≥ 0.05).
conclusionDual-plate fixation is associated with significantly lower rates of implant removal and reoperations, and a borderline but clinically significant reduction in other complications, compared with single-plate fixation for midshaft clavicle fractures. These findings suggest that dual plating may offer improved implant-related outcomes without increasing operative time or compromising fracture healing.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.