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BMC Musculoskeletal Disorders
Published in: BMC Musculoskeletal Disorders 1/2017

Open Access 01-12-2017 | Research article

Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis

Authors: Jie Ai, Shun-Li Kan, Hai-Liang Li, Hong Xu, Yang Liu, Guang-Zhi Ning, Shi-Qing Feng

Published in: BMC Musculoskeletal Disorders | Issue 1/2017

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Abstract

Background

The position of plate fixation for clavicle fracture remains controversial. Our objective was to perform a comprehensive review of the literature and quantify the surgical parameters and clinical indexes between the anterior inferior plating and superior plating for clavicle fracture.

Methods

PubMed, EMBASE, and the Cochrane Library were searched for randomized and non-randomized studies that compared the anterior inferior plating with the superior plating for clavicle fracture. The relative risk or standardized mean difference with 95% confidence interval was calculated using either a fixed- or random-effects model.

Results

Four randomized controlled trials and eight observational studies were identified to compare the surgical parameters and clinical indexes. For the surgical parameters, the anterior inferior plating group was better than the superior plating group in operation time and blood loss (P < 0.05). Furthermore, in terms of clinical indexes, the anterior inferior plating was superior to the superior plating in reducing the union time, and the two kinds of plate fixation methods were comparable in constant score, and the rate of infection, nonunion, and complications (P > 0.05).

Conclusions

Based on the current evidence, the anterior inferior plating may reduce the blood loss, the operation and union time, but no differences were observed in constant score, and the rate of infection, nonunion, and complications between the two groups. Given that some of the studies have low quality, more randomized controlled trails with high quality should be conduct to further verify the findings.
Appendix
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Metadata
Title
Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis
Authors
Jie Ai
Shun-Li Kan
Hai-Liang Li
Hong Xu
Yang Liu
Guang-Zhi Ning
Shi-Qing Feng
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Musculoskeletal Disorders / Issue 1/2017
Electronic ISSN: 1471-2474
DOI
https://doi.org/10.1186/s12891-017-1517-1

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