The Effectiveness of a Flexible Locked Intramedullary Nail and an Anatomically Contoured Locked Plate to Treat Clavicular Shaft Fractures: A 1-Year Randomized Control Trial

この研究はハイインパクトの可能性があります。 OEのAI駆動型ハイインパクト指標は、論文が掲載されたジャーナルと論文自体の科学的内容の両方からのシグナルを統合することで、論文が持つ可能性の高い影響力を推定します。 最先端の自然言語処理を用いて開発されたOEハイインパクトモデルは、ジャーナルのインパクトファクターのみよりも、研究の将来の引用実績をより正確に予測します。 これにより、臨床的に意義のある研究をより早く認識することが可能になり、読者は将来の診療を形成する可能性が最も高い論文に集中することができます。

72 patients with clavicular shaft fractures were randomized to receive an open reduction and internal fixation procedure utilizing either a anatomically contoured locking plate or an intramedullary nail. The primary outcomes of interest included DASH scores, Constant Shoulder scores, and union rate. Secondary outcomes included operative time, incision length and the rate of hardware failure. Follow up was performed at 6 weeks, 3 months, 6 months and 12 months. DASH scores were significantly in favour of the intramedullary nail group at 12 months; no significant differences between groups were observed in DASH scores up to 6 months. No significant differences were observed between the two groups in Constant Shoulder scores or the rate of union. Operative time and incision length were both significantly longer in the locking plate group compared to the intramedullary nail group. Both groups displayed 1 event of hardware failure.