Study Summary

Seven comparative studies including 825 patients with midshaft clavicle fractures were included in this systematic review and meta-analysis comparing dual-plate fixation versus single-plate fixation. Pooled outcomes of interest included operative time, American Shoulder and Elbow Surgeons (ASES) functional score, nonunion rates, other complication rates, implant removal rates, and overall reoperation rates. The pooled analysis demonstrated that dual-plate fixation significantly reduced implant removal and reoperation rates, while no significant differences were observed in operative time, nonunion rates, or functional outcomes. Overall, the findings suggest that dual plating may reduce implant-related complications and the need for secondary surgery without compromising fracture healing or shoulder function.