Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Oncology Letters
      • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Biomedical Reports
      • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • Information for Authors
    • Information for Reviewers
    • Information for Librarians
    • Information for Advertisers
    • Conferences
  • Language Editing
Spandidos Publications Logo
  • About
    • About Spandidos
    • Aims and Scopes
    • Abstracting and Indexing
    • Editorial Policies
    • Reprints and Permissions
    • Job Opportunities
    • Terms and Conditions
    • Contact
  • Journals
    • All Journals
    • Biomedical Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Experimental and Therapeutic Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Epigenetics
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Functional Nutrition
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Molecular Medicine
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • International Journal of Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Medicine International
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular and Clinical Oncology
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Molecular Medicine Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Letters
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • Oncology Reports
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
    • World Academy of Sciences Journal
      • Information for Authors
      • Editorial Policies
      • Editorial Board
      • Aims and Scope
      • Abstracting and Indexing
      • Bibliographic Information
      • Archive
  • Articles
  • Information
    • For Authors
    • For Reviewers
    • For Librarians
    • For Advertisers
    • Conferences
  • Language Editing
Login Register Submit
  • This site uses cookies
  • You can change your cookie settings at any time by following the instructions in our Cookie Policy. To find out more, you may read our Privacy Policy.

    I agree
Search articles by DOI, keyword, author or affiliation
Search
Advanced Search
presentation
Medicine International
Join Editorial Board Propose a Special Issue
Print ISSN: 2754-3242 Online ISSN: 2754-1304
Journal Cover
November-December 2021 Volume 1 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

Journals

International Journal of Molecular Medicine

International Journal of Molecular Medicine

International Journal of Molecular Medicine is an international journal devoted to molecular mechanisms of human disease.

International Journal of Oncology

International Journal of Oncology

International Journal of Oncology is an international journal devoted to oncology research and cancer treatment.

Molecular Medicine Reports

Molecular Medicine Reports

Covers molecular medicine topics such as pharmacology, pathology, genetics, neuroscience, infectious diseases, molecular cardiology, and molecular surgery.

Oncology Reports

Oncology Reports

Oncology Reports is an international journal devoted to fundamental and applied research in Oncology.

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine

Experimental and Therapeutic Medicine is an international journal devoted to laboratory and clinical medicine.

Oncology Letters

Oncology Letters

Oncology Letters is an international journal devoted to Experimental and Clinical Oncology.

Biomedical Reports

Biomedical Reports

Explores a wide range of biological and medical fields, including pharmacology, genetics, microbiology, neuroscience, and molecular cardiology.

Molecular and Clinical Oncology

Molecular and Clinical Oncology

International journal addressing all aspects of oncology research, from tumorigenesis and oncogenes to chemotherapy and metastasis.

World Academy of Sciences Journal

World Academy of Sciences Journal

Multidisciplinary open-access journal spanning biochemistry, genetics, neuroscience, environmental health, and synthetic biology.

International Journal of Functional Nutrition

International Journal of Functional Nutrition

Open-access journal combining biochemistry, pharmacology, immunology, and genetics to advance health through functional nutrition.

International Journal of Epigenetics

International Journal of Epigenetics

Publishes open-access research on using epigenetics to advance understanding and treatment of human disease.

Medicine International

Medicine International

An International Open Access Journal Devoted to General Medicine.

Journal Cover
November-December 2021 Volume 1 Issue 5

Full Size Image

Sign up for eToc alerts
Recommend to Library

  • Article
  • Citations
    • Cite This Article
    • Download Citation
    • Create Citation Alert
    • Remove Citation Alert
    • Cited By
  • Similar Articles
    • Related Articles (in Spandidos Publications)
    • Similar Articles (Google Scholar)
    • Similar Articles (PubMed)
  • Download PDF
  • Download XML
  • View XML
Article Open Access

Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis

  • Authors:
    • Daihong Yang
    • Jiawei Zhou
    • Lijun Wang
  • View Affiliations / Copyright

    Affiliations: Department of Orthopedics, Chongqing Dazu District People's Hospital, Chongqing 402360l, P.R. China, Department of Orthopedics, People's Hospital of Wuhan University, Wuhan, Hubei 430061, P.R. China
    Copyright: © Yang et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
  • Article Number: 21
    |
    Published online on: November 3, 2021
       https://doi.org/10.3892/mi.2021.21
  • Expand metrics +
Metrics: Total Views: 0 (Spandidos Publications: | PMC Statistics: )
Metrics: Total PDF Downloads: 0 (Spandidos Publications: | PMC Statistics: )
Cited By (CrossRef): 0 citations Loading Articles...

This article is mentioned in:



Abstract

Midshaft (mid)‑clavicle fractures are the most common type of clavicle fractures. The Kirschner wire (KW) and anatomic plate (AP) are two commonly used surgical treatment methods for mid‑clavicle fractures, of which the use of an AP appears to be a more effective option. The present study performed a meta‑analysis of a number of published studies on the treatment of mid‑clavicle fractures with APs and KWs, in order to compare the advantages and disadvantages of the two treatments, so as to select a more effective treatment approach. The articles were obtained from several databases, including Cochrane Library, PubMed, Embase, CNKI, Wanfang, VIP and Chinese Biomedical Literature Database. The search period was from database establishment to June, 2021. Research was obtained by two authors who individually searched the aforementioned databases. For controversial studies, decisions were made by two authors (JZ and LW). A total of 20 studies involving 1,739 patients were included in the meta‑analysis, including eight randomized controlled studies and 12 cohort trials. The results of the meta‑analysis suggested that: Compared with the KW group, the AP group exhibited significant differences in incision length [standardized mean difference (SMD)=2.40; 95% confidence interval (CI), 1.93‑2.86], constant function score (6 months; SMD=1.59; 95% CI, 1.29‑1.89) and fracture healing time (SMD=‑1.48; 95% CI, ‑2.09 to ‑0.87) (P<0.05). However, no significant differences were observed in the duration of the surgery (SMD=1.19; 95% CI, ‑0.19‑2.57) and intraoperative blood loss (SMD=0.10; 95% CI, ‑3.13‑3.32) (P>0.05). Compared with the KW group, significant differences were observed in post‑operative efficacy (OR, 4.81; 95% CI, 3.10‑7.46) and the incidence of post‑operative complications (OR, 0.16; 95% CI, 0.05‑0.55) in the AP group (P<0.05). On the whole, the AP and KW are two common materials for the clinical surgical treatment of mid‑clavicle fractures. The present study confirmed that there was no significant difference between the two treatments as regards the duration of surgery and intraoperative blood loss; however, for post‑operative shoulder joint function recovery, fracture healing state and healing time, the AP was significantly more effective than the KW. The post‑operative complication rate of the AP group was significantly lower than that of the KW group. However, further prospective, large‑sample randomized controlled studies are required to provide more concrete evidence for verification.
View Figures

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8

Figure 9

Figure 10

View References

1 

O'neill BJ, Hirpara KM, O'briain D, Mcgarr C and Kaar TK: Clavicle fractures: A comparison of five classification systems and their relationship to treatment outcomes. Int Orthop. 35:909–914. 2011.PubMed/NCBI View Article : Google Scholar

2 

Wang N, Zhang H, Yao Q, Wang Y, Dai S and Yang X: TGFBI promoter hypermethylation correlating with paclitaxel chemoresistance in ovarian cancer. J Exp Clin Cancer Res. 31(6)2012.PubMed/NCBI View Article : Google Scholar

3 

d'heurrle A, Le T, Grawe B, Casstevens EC, Edgington J, Archdeacon MT and Wyrick J: Perioperative risks associated with the operative treatment of clavicle fractures. Injury. 44:1579–1581. 2013.PubMed/NCBI View Article : Google Scholar

4 

Strauss BJ, Carey TP, Seabrook JA and Lim R: Pediatric clavicular fractures: Assessment of fracture patterns and predictors of complicated outcome. J Emerg Med. 43:29–35. 2012.PubMed/NCBI View Article : Google Scholar

5 

Krishna R and Mongia AK: Outcome of surgical and conservative management of fractures of the middle-third of the clavicle. Indian J Orthop Surg. 1:87–92. 2015.

6 

Canadian Orthopaedic Trauma Society. Nonoperative treatment compared with plate fixation of displaced midshaft clavicular fractures. A multicenter, randomized clinical trial. J Bone Joint Surg Am. 89:1–10. 2007.PubMed/NCBI View Article : Google Scholar

7 

Denard PJ, Koval KJ, Cantu RV and Weinstein JN: Management of midshaft clavicle fractures in adults. Am J Orthop (Belle Mead NJ). 34:527–536. 2005.PubMed/NCBI

8 

Li YE, Tong Y, Ni QW, Tian NN and Wang CX: A comparative study of anatomical plate and Kirschner wire fixation in the treatment of middle clavicle fractures. Chin Med Herald. 9:162–163. 2012.(In Chinese).

9 

Postacchjini F, Gumina S, De Santis P and Albo F: Epidemiology of clavicle fractures. J Shoulder Elbow Surg. 11:452–456. 2002.PubMed/NCBI View Article : Google Scholar

10 

Mckee MD, Pedersen EM, Jones C, Stephen DJ, Kreder HJ, Schemitsch EH, Wild LM and Potter J: Deficits following nonoperative treatment of displaced midshaft clavicular fractures. J Bone Joint Surg Am. 88:35–40. 2006.PubMed/NCBI View Article : Google Scholar

11 

Zlowodzki M, Zelle BA, Cole PA, Jeray K and McKee MD: Evidence-Based Orthopaedic Trauma Working Group. Treatment of acute midshaft clavicle fractures: Systematic review of 2144 fractures: On behalf of the evidence-based orthopaedic trauma working group. J Orthop Trauma. 19:504–507. 2005.PubMed/NCBI View Article : Google Scholar

12 

Stang A: Critical evaluation of the Newcastle-Ottawa scale for the assessment of the quality of nonrandomized studies in meta-analysis. Eur J Epidemiol. 25:603–605. 2010.PubMed/NCBI View Article : Google Scholar

13 

Higgins JP, Thompson SG, Deeks JJ and Altman DG: Measuring inconsistency in meta-analyses. BMJ. 327:557–560. 2003.PubMed/NCBI View Article : Google Scholar

14 

Lau J, Ioannidis JP and Schmid CH: Quantitative synthesis in systematic reviews. Ann Intern Med. 127:820–826. 1997.PubMed/NCBI View Article : Google Scholar

15 

Liu HF: The effect of anatomical plate internal fixation on the treatment of 70 cases of middle clavicle fractures and its influence on the shoulder joint function of patients. Chin Minkang Med. 29:49–50. 2017.(In Chinese).

16 

Jue LL: Clinical analysis of anatomical locking plate in the treatment of middle clavicle fractures. Mod Health: 149, 2017. kns.cnki.net/kcms/detail/detail.aspx?dbcode=CJFD&dbname=CJFDLASN2017&filename=YSXD201704133&uniplatform=NZKPT&v=EFijtKCLk%25mmd2FrRT069bZ7Hbmdx4ZcQUM6nPCQ5Ren%25mmd2BMgSsVyghjsmWDhbCmMjCDpHn.

17 

Ren XH: Comparison of treatment methods for middle-aged, young and old patients with fracture of the middle third of the clavicle. Prim Med Forum. 20:4216–4218. 2016.(In Chinese).

18 

Guo WQ, Zeng ZH and Liu WJ: Analysis of curative effect of cluster Kirschner wire and anatomical plate in the treatment of middle clavicle fracture. Mod Hosp. 14:53–56. 2014.(In Chinese).

19 

Ma ZY: Application of anatomical plate in emergency operation of comminution fracture of the middle clavicle. J Qiqihar Med Coll. 35:1601–1602. 2014.(In Chinese).

20 

Qiu YF and Xiao DJ: Analysis of the curative effect of three internal fixation methods in the treatment of middle clavicle fractures. Chin Med Innovation. 10:107–109. 2013.(In Chinese).

21 

Wang Q, Yang F and Cui B: Analysis of three methods of intramedullary fixation in the treatment of mid-clavicle fracture. Med Inf. 24:244–245. 2015.(In Chinese).

22 

Yang XK: Comparison of the effects of internal fixation with anatomical plates and Kirschner wires on shoulder joint function and complications in patients with middle clavicle fractures. Chin Med Innovation. 14:59–62. 2017.(In Chinese).

23 

Chen JG, Liu B and Li ZD: Comparison of the curative effect of three surgical methods for clavicle fracture. Med Theory Pract. 28:3225–3226. 2015.(In Chinese).

24 

Cheng J: Clinical research significance of anatomic locking plate in the treatment of mid-clavicle fracture. J Qiqihar Med Coll. 36:2559–2560. 2015.(In Chinese).

25 

Li YW: The effect of S-shaped anatomical plate in the treatment of 28 cases of fractures of the middle and outer 1/3 of the clavicle. Contemp Med Essays. 12(50)2014.(In Chinese).

26 

Tian WG: Analysis of surgical treatment of unstable middle clavicle fractures. Mod Diagn Treat. 24:2593–2594. 2013.(In Chinese).

27 

Zhang WW, Yang JW, Hu XY, Li CJ, Wang B and Ren XH: Surgical treatment of unstable middle clavicle fractures. J Clin Orthop. 15:345–346. 2012.(In Chinese).

28 

Wang T, Ye CQ and Chen GF: Comparison of the effect of internal fixation with anatomical steel plate and Kirschner wire in the treatment of middle clavicle fractures. Chin Med Clin. 11:1313–1314. 2011.(In Chinese).

29 

Ji SJ, Ning SY, Qiao WS, Zhao Y, Qi X, Li SQ, Yang C and Yang JG: Comparison of treatment methods for middle-aged, young and old patients with fracture of the middle third of the clavicle. Chin J Gerontol. 30:2683–2684. 2010.(In Chinese).

30 

Zhang NS: Analysis of curative effect of different internal fixation methods for middle clavicle fractures. Chin J Bone Joint Injury. 25:449–450. 2010.(In Chinese).

31 

Lv PC and Du XY: Comparison of internal fixation with anatomical plate and kirschner wire in the treatment of comminution fracture of the middle clavicle. J Clin Orthop. 13(115)2010.(In Chinese).

32 

Yang SF, Chen J, PU ZK and Liu CC: Different internal fixation options for middle clavicle fractures. West Chin Med. 24:85–87. 2009.(In Chinese).

33 

Bu BX, Zhang J, Shi FM, Cao HY and Ma HS: Comparison of clinical efficacy of three internal fixation methods in the treatment of clavicle fracture. Chin J Orthop Trauma. 2:66–67. 2006.kns.cnki.net/kcms/detail/detail.aspx?dbcode=CJFD&dbname=CJFD2006&filename=ZGZG200602032&uniplatform=NZKPT&v=diBeVwsph777%25mmd2BbgnEjYCKtl%25mmd2B0unz1dsE8AsylI4wbVExhJ9rqAxlj%25mmd2FyAZnqifFEM.

Related Articles

  • Abstract
  • View
  • Download
Copy and paste a formatted citation
Spandidos Publications style
Yang D, Zhou J and Wang L: Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis. Med Int 1: 21, 2021.
APA
Yang, D., Zhou, J., & Wang, L. (2021). Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis. Medicine International, 1, 21. https://doi.org/10.3892/mi.2021.21
MLA
Yang, D., Zhou, J., Wang, L."Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis". Medicine International 1.5 (2021): 21.
Chicago
Yang, D., Zhou, J., Wang, L."Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis". Medicine International 1, no. 5 (2021): 21. https://doi.org/10.3892/mi.2021.21
Copy and paste a formatted citation
x
Spandidos Publications style
Yang D, Zhou J and Wang L: Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis. Med Int 1: 21, 2021.
APA
Yang, D., Zhou, J., & Wang, L. (2021). Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis. Medicine International, 1, 21. https://doi.org/10.3892/mi.2021.21
MLA
Yang, D., Zhou, J., Wang, L."Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis". Medicine International 1.5 (2021): 21.
Chicago
Yang, D., Zhou, J., Wang, L."Comparative clinical efficacy of anatomic plate and Kirschner wire internal fixation in midshaft clavicle fractures: A meta‑analysis". Medicine International 1, no. 5 (2021): 21. https://doi.org/10.3892/mi.2021.21
Follow us
  • Twitter
  • LinkedIn
  • Facebook
About
  • Spandidos Publications
  • Careers
  • Cookie Policy
  • Privacy Policy
How can we help?
  • Help
  • Live Chat
  • Contact
  • Email to our Support Team